Eligibility Assistance Services Specialist (Grant Funded) at Carilion Clinic in Roanoke, Virginia

Job Description:

How You'll Help Transform Healthcare:

The Eligibility Specialist is the provision of a range of client-centered activities focused on improving access to and retention in needed core medical and support services. The Eligibility Specialist provides coordination, guidance, and assistance in accessing medical, social, community, legal, financial, employment, vocational, and/or other needed services. Services may also include assisting eligible clients to obtain access to other public and private programs for which they may be eligible, such as Medicaid, Children's Health Insurance Program, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer's Patient Assistance Programs, Department of Labor or Education-funded services, other state or local health care and supportive services, or private health care coverage plans. Services includes all types of case management encounters (e.g., face-to-face, telehealth, phone contact, and any other forms of communication).

• Completes frequent face to face patient interactions completing intake application and all required forms. Obtains all documents for verification as defined by the standards. Determines eligibility for various Ryan White funded services (Part B and C) including HIV medical case management and ADAP, AIDS Drug Assistance Program, as well as other community resources. Schedules medical case management screening appointment.
• Obtains proper HIV status documentation and residency information.
• Performs the 6 month eligibility review and obtains necessary documents as defined by the standards,
• Complete required data entry into required patient database.
• Demonstrates and applies a thorough knowledge of benefit programs such as Medicaid, SSI/SSDI, Medicare, TANF, SNAP, Auxiliary Grant, etc. Coordinates with Carilion's Financial Assistance Program, MedKey, and hospital payment plan eligibility rules, regulations and procedures in order to assure accurate processing of accounts for billing and reimbursement when patient requires additional assistance.
• Maintains current information on all frequently used community resources, as needed.
• Collaborates with the team to ensure patient timely access to care and access to appropriate resources.

What We Require:

Education: Four year degree in Social Sciences or related field preferred.

Experience: Minimum of two years benefits eligibility experience with State Social Services system or experience in a medical advocacy program or closely related experience preferred.

Other: Demonstrated human relation and effective communication skills, excellent organizational skills and multitasking required. Computer skills essential. Must have reliable transportation.

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Requisition Number: 150117
Employment Status: Full time
Location: Carilion Clinic Infectious Disease
Shift: Day
Shift Details: Mon - Fri
Recruiter: HAYLEY F OHL
Recruiter Email: hcfield@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

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