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Full Job Description
The Eligibility Manager oversees all training and compliance of the financial screening functions of Mountain Park Health Center, to ensure eligibility for all financial programs is performed with accuracy, efficiency and timely.
ESSENTIAL FUNCTIONS:
- Organizes, plans, audits, and oversees all departmental related activity.
- Manages workflow, performance, and overall eligibility operations achieving expert care, superb service, and staff productivity.
- Manages and oversees the day-to-day functions of the department and delegates responsibilities to manage operations.
- Coaches, counsels and develops employees.
- Supports senior leadership (i.e., directors and above) by enthusiastically and professionally implementing policies and procedures, and by staying up to date on changes.
- Assists employees with day-to-day work activities and communicates the department’s mission, goals, and accomplishments by providing objectives and the tools needed to reach them.
- Assists in the development and implementation of financial eligibility criteria and modifies/updates as needed to fit Mountain Park Health Center’s goals.
- Conducts financial screening audits, assists with preparation of monthly statistical reports and regularly reviews performance measures by user and location.
- Regularly reports audit results and ensures tracking with required standards and measures.
- Develops and implements a system to measure and improve the quality of eligibility services delivered by Mountain Park Health Center’s financial interviewers.
- Assists the Chief Operating Officer (COO) with a variety of advocacy functions.
- Acts as the liaison with the Department of Economic Security (DES), Arizona Health Care Cost Containment System (AHCCCS), and AHCCCS contracted health plans concerning eligibility issues.
- Acts as the liaison to the operations staff to answer questions/concerns regarding the financial screening process and or its requirements.
- Responsible for compliance, reporting and tracking grants related to eligibility, as assigned.
- Travels to multiple locations as needed.
- Maintains regular and predictable attendance.
- Performs other duties as required
POSITION QUALIFICATIONS:
Minimum Qualifications:
- Bachelor’s degree and two (2) years of prior leadership experience or,
- High school diploma or general education degree (GED) and five (5) years of leadership experience.
- Three (3) years of customer service experience or an equivalent combination of eligibility service experience
- Valid driver’s license
Preferred Qualifications:
- Three (3) years of leadership experience in a healthcare organization
- Bilingual in Spanish and English
Job Information
Job Category:
Healthcare Services
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