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Bilingual Eligibility Specialist

Posted: 04/30/2023

Reports to: Eligibility Manager Position Overview: Position is directly involved in establishing and documenting client eligibility for various programs and benefits Job Duties & Responsibilities: Responsible for intakes, updates, and compliance Manage schedule of client appointments Research and resolve client eligibility issues thoroughly, timely, and accurately Respond timely to member eligibility inquiries from internal and external stakeholders Request necessary information to determine eligibility in a timely and accurate manner Maintains confidentiality of all business matters Maintain files for incoming eligibility documents and new client referrals Complete client enrollments and renewals Complete outcome measurements for clients Complete internal audits, preparations as needed for external audits Manually update member eligibility data in the Client Services database Manage emergency client renewals and requests for assistance Refer clients to case managers that need additional services Other duties as assigned Job Requirements & Qualifications: Associate’s degree or 3+ years in HIV field; experience may substitute for education 1 year of previous experience in determining Ryan White eligibility preferred. Familiarity with Microsoft Office applications Ability to work efficiently and effectively with clients from underserved populations Ability to work efficiently and effectively with a diverse set of co-workers Strong time management skills Excellent written & oral communication skills Excellent technical & business acumen Spanish-Speaking Required

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