Benefits Eligibility Lead & Training Coach

Health Care For the Homeless Inc; Baltimore (MD); On-site; USD 48,000 - 75,000; Full time

Job summary

Health Care For the Homeless Inc. seeks a Benefits Eligibility Coordinator to lead a team ensuring clients access Medicaid/renewals and insurance benefits. You will supervise the Eligibility Specialists, coordinate with state agencies and MCOs, and ensure compliance with HIPAA and ADA regulations.

The role emphasizes training, performance tracking and efficient workflows within an integrated, multi-site health center environment, with a focus on underserved populations.

Qualifications

• Three years of experience in health insurance eligibility/verification.
• One year of supervision required.
• Experience with underserved populations preferred.
• HIPAA and ADA knowledge.
• Training in Motivational Interviewing preferred.

Responsibilities

• Directly train, supervise and appraise a team of Benefits Eligibility Specialists.
• Perform duties of Benefits Eligibility Specialists, including navigator tasks.
• Coordinate with external entities for access to insurance benefits.
• Monitor, track and report Benefits Eligibility goals and KPIs.
• Ensure compliance with HIPAA, ADA and regulatory guidelines.
• Oversee and audit processes; align with Practice Managers across sites.
• Oversee prior authorizations for behavioral health per MCO rules.

Skills

Team supervision

Training

Customer service

Communication

HIPAA knowledge

De-escalation

Motivational interviewing

Ethics

Education

Associate’s degree

Certified Navigator

Tools

Practice management systems

Job description

Health Care For the Homeless Inc. seeks a Benefits Eligibility Coordinator to lead a team ensuring clients access Medicaid/renewals and insurance benefits. You will supervise the Eligibility Specialists, coordinate with state agencies and MCOs, and ensure compliance with HIPAA and ADA regulations.

The role emphasizes training, performance tracking and efficient workflows within an integrated, multi-site health center environment, with a focus on underserved populations.