Position is directly involved in establishing and documenting client eligibility for various programs and benefits
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Responsible for intakes, updates, and compliance
Manage the schedule of client appointments
Research and resolve client eligibility issues thoroughly, timely manner, and accurately
Respond timely to member eligibility inquiries from internal and external stakeholders
Request necessary information to determine eligibility in a timely and accurate manner
Maintains confidentiality of all business matters
Maintain files for incoming eligibility documents and new client referrals
Complete client enrollments and renewals
Complete outcome measurements for clients
Complete internal audits, and preparations as needed for external audits
Manually update member eligibility data in the Client Services database
Manage emergency client renewals and requests for assistance
Provide guidance to clients as a healthcare professional
Refer clients to case managers who need additional services
Other duties as assigned
