Eligibility and Outreach Specialist

Adelante Healthcare
US - Arizona - Goodyear
April 18, 2025

Job DetailsJob Location
Adelante Healthcare Goodyear - Goodyear, AZ

Position Type
Full Time

Job Category
Health Care

DescriptionPOSITION SUMMARY

Primarily responsible for promoting health insurance programs through coordinated comprehensive and effective outreach efforts. Will greet incoming patients/clients, screen for medical coverage eligibility available through different programs and assist with the application process, register patients, and provide information regarding Adelante Healthcare, Inc. Will attend outreach events and promote Adelante Healthcare services. Work is performed under the direct supervision of the Eligibility Manager at each site.

EXPECTATIONS

Every Adelante employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism and competence.

OUR CORE VALUES

Compassion
Excellence
Integrity
Learning
Respect
Sustainability

QualificationsESSENTIAL SKILLS AND EXPERIENCE

Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations
High School Diploma or GED from an accredited institution
Minimum one (1) year experience in medical front office, customer service and/or experience in sales, interview techniques, and extensive public relations/contact work
Experience and knowledge of health care programs available through state and federal programs such as Medicaid/AHCCCS, DES, etc.
Bilingual English/Spanish. Must have the ability to communicate effectively with monolingual Spanish speakers
Ability to write routine reports and correspondence, utilizing excellent English, spelling, and punctuation skills
Ability to calculate figures and amounts such as discounts, interest, and percentages
Ability to interpret a variety of instructions furnished
Strong familiarity with human service agencies serving low-income and minority populations and understanding of and sensitivity to issues of concerns to low-income and minority communities
Ability to meet and deal effectively with clients, associates, and the general public
Basic computer efficiency, with the ability to utilize the Patient Management system
Valid AZ drivers license
Ability to drive to any of our locations and other areas in Maricopa County to cover at other sites and provide outreach.
Competency in dealing with people of various cultures and backgrounds

NONESSENTIAL SKILLS AND EXPERIENCE

Associates Degree from a two year college in a health care or related field
Three (3) years of experience in community health

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

POSITION REPONSIBILITIES/ESSENTIAL

Welcome patients and provide information on health care programs. Greet patients/clients, screen for appropriate medical coverage eligibility available through state programs, and assist patient/client in application process for medical programs, track applications in progress for completion by continued contact with patient/client and assist patient/client with problem application
Register patient/client with Adelantes health center for primary health care and promote and register patient/client for other available programs within Adelantes facility
Assure patients are registered under correct eligibility and corresponding pay code. Accurately update patient records accordingly for eligibility. Maintain current status of work in progress with accuracy and productivity at measured benchmarks
Guide and assist patients/clients in utilizing recommended services as indicated by medical referral and make appropriate referrals to community agencies on a case by case basis. Orient patients/clients to care delivery system and available resources.
Share pertinent information regarding health programs
Drive to various locations in Maricopa County, including, but not limited to, other Adelante Healthcare facilities to provide outreach and eligibility services
Present to other community partners on what services Adelante Healthcare offers
Attend community outreach events to promote Adelante Healthcare services

Additional Duties and Responsibilities

Other duties as request or assigned

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcares written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelantes legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception.

Read the full job description and apply online on the recuiter's web-site

Eligibility and Outreach Specialist

Eligibility and Outreach Specialist

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