Eligibility Coordinator

**Position Summary** Davis Street is seeking an APP Eligibility Intake Coordinator / Front Office team member to provide patient intake, eligibility verification, appointment support, and insurance coordination. This position interacts with a variety of patients, insurance companies, clinical staff, and external partners to ensure patients are informed of their insurance coverage, co-pays, deductibles, sliding fee eligibility, and other financial responsibilities before services are provided. **Key Responsibilities** - Perform patient intake, eligibility verification, and documentation for clinic and counseling services. - Explain insurance coverage, co-pays, deductibles, Sliding Fee eligibility, and other financial responsibilities to patients. - Complete all required verifications before appointments are scheduled and services are provided. - Check in patients and schedule or cancel appointments as needed. - Assist patients with enrollment in local, state, and federal programs. - Communicate with insurance companies and payer websites to verify eligibility, claims status, referrals, and authorizations. - Research and resolve eligibility denials, claim rejections, and payer-related issues. - Maintain accurate patient records, eligibility information, referrals, and authorization documentation. - Provide weekly intake and referral activity reports to the Claims Supervisor. - Communicate with patients, staff, providers, insurance companies, and external facilities to provide timely and accurate information. - Provide excellent customer service to patients and clinical staff regarding insurance coverage and eligibility questions. - Participate in outreach events, staff trainings, meetings, and other administrative support duties as assigned. - Maintain confidentiality in accordance with HIPAA. - Perform other duties as assigned. **Qualifications** - High school diploma required; college degree preferred. - Minimum of 1 year of related experience with insurance coverage, eligibility verification, medical billing guidelines, and payer website navigation. - Strong understanding of medical terminology. - Excellent customer service, communication, and interpersonal skills. - Ability to work with diverse populations in a culturally sensitive manner. - Detail-oriented, organized, and able to maintain accurate records in a fast-paced environment. - Strong problem-solving skills and ability to work independently and collaboratively. - Commitment to the mission and values of Davis Street. - Bilingual in Spanish preferred.