Community Health Eligibility Navigator

La Familia; Hayward (CA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Professional development

Flexible scheduling

Growth opportunities

Job summary

La Familia is seeking an Eligibility Enrollment Clerk to support front office operations at its Community Health Center. You will prepare eligibility information, verify insurance, and enroll patients in public and private programs while guiding them through the intake process.

You will register patients, schedule visits, and document data in the EHR, ensuring HIPAA-compliant handling of sensitive information. Bilingual English/Spanish is strongly preferred to serve diverse communities.

Qualifications

• High school diploma or GED required; Associate’s Degree preferred.
• Minimum three years of experience in patient registration, insurance verification, eligibility determination, or enrollment.
• Experience in a community health care environment, FQHC, or primary health care setting preferred.
• 2–3 years of experience with Medi‑Cal eligibility, Covered California enrollment, and other public/private insurance programs.
• Bilingual (English/Spanish or other community language) strongly preferred.
• Proficiency in EHR and eligibility verification systems.
• Excellent customer service and communication skills with underserved populations.
• Proficient in MS Office and Google Workspace.
• Valid California driver’s license required.

Responsibilities

• Prepare eligibility information for each scheduled clinic patient and verify eligibility with front desk staff.
• Interview and screen patients to determine eligibility for health insurances and assistance programs.
• Register new patients, schedule appointments, and provide information on services.
• Enter and document eligibility data in the electronic health record.
• Assist patients in completing and submitting applications for county and state benefit programs.
• Maintain confidential records in accordance with HIPAA and handle sensitive information.
• Travel may be required for eligibility-related meetings.

Skills

Patient registration

Insurance verification

Eligibility determination

Enrollment processing

Bilingual (English/Spanish)

Customer service

MS Office

Google Workspace

HIPAA compliance

Education

High school diploma or GED

Associate’s Degree preferred

Tools

Electronic Health Records (EHR)

Eligibility verification systems

Job description

La Familia is seeking an Eligibility Enrollment Clerk to support front office operations at its Community Health Center. You will prepare eligibility information, verify insurance, and enroll patients in public and private programs while guiding them through the intake process.

You will register patients, schedule visits, and document data in the EHR, ensuring HIPAA-compliant handling of sensitive information. Bilingual English/Spanish is strongly preferred to serve diverse communities.