One Community Health

Compensation

Full Description

Eligibility Manager The mission of One Community Health is to transform lives through care, research and community awareness. This position will support the goals of this mission by providing assistance to patients in securing insurance eligibility. This position supports key eligibility initiatives as required by funding sources and organizational mission. Location: This role is located in Midtown - Sacramento, CA (95811). ESSENTIAL FUNCTIONS Insurance, Grants and Program Eligibility • Provides guidance to staff to accurately determine and verify eligibility for Federal/State/County programs/grants/health insurance such as Family Pact, Sliding Fee Discount Program, Medi-Cal, Medicare, Covered California, Ryan White, ADAP and other essential organizational programs, which requires patient eligibility verifications. • Keep up to date with the latest program changes and ensure staff is properly notified and trained. ​Leadership • Oversee the Eligibility operations; manage the daily staff schedules, tasks, special projects and monitor department workflows, processes, and productivity. • Engage staff to promote pride and ownership in One Community Health’s mission and work quality. Customer Service • Provide exceptional customer service by working with patients to meet their needs. • Supervises and trains staff to create a welcoming environment for all new patients and renewal appointments. • Collaborate internally across departments to identify best practices to deliver the best service to our patients. • Must have a solid understanding of insurance programs, Federal Sliding Fee Discount program and State and Federal regulations and the Revenue Cycle. Quality Assurance • Actively engage quality assurance activities to improve and maintain excellent customer services levels. • Provide feedback to staff and leadership on data trends with actionable recommendations. • Monitor the compliance of staff with Federal/State/County/Organizational policies and procedures for program eligibility. Reporting and Tracking • Collaborate across departments to ensure accurate information is collected, entered and reported to grant funders and regulatory entities. • Monitor Eligibility staff is accurately following established workflows and entering data in a timely manner to ensure data integrity. MINIMUM REQUIREMENTS • Expertise in the following areas, typically gained from 3-5 years in a similar capacity: • Insurance/Federal/State/County funded program eligibility • Leadership or supervisory experience (managing teams, performance, workflow) • Strategic thinking & decision making. • If not already certified as Certified Enrollment Counselor, certification must be obtained within the first 60 days upon hiring and annually thereafter; certifications must be kept current and in good standing. Preferred Background • Bachelor's degree in related field. • Previous experience with grant management. • ADAP certification. • Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all. • Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices Reasonable Accommodations One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at ochhumanresources@onecommunityhealth.com. Our Benefits For more information on the comprehensive benefits we provide, please visit: https://onecommunityhealth.com/careers/recruitment Additional Information We only employ US citizens and non-US citizens authorized to work in the United States in compliance with federal law.