Medical Eligibility Specialist (CC0707 - East)

As an essential part of CommuniCare and the community, serves as an intermediary between patients, community members, providers, and government entities to navigate complex insurance programs and funding sources available. Ensures accurate and efficient application processing and counseling to patients and community members by keeping up to date with regulations and related processes. Facilitates client qualification for and enrollment in a Qualified Health Plan (QHP) through the Federal Marketplace, Medicaid/CHIP and/or other health programs/grants. Assists eligible individuals in making informed decisions on the selection of a health plan if available. Maintains confidentiality of all patient information.