Eligibility Specialist-Atkinson

Mountain Park Health Center; Phoenix (AZ); On-site; USD 40,000 - 60,000; Full time

Job summary

Mountain Park Health Center seeks an Eligibility Specialist to screen and assist with applications for federal and state health programs. You will verify patient eligibility, educate on benefits, and facilitate enrollment while ensuring compliance with guidelines.

The role requires strong needs-based assessment skills, attention to documentation detail, and ability to communicate in bilingual settings. Join MPHC to support access to care and financial assistance for patients in our community.

Qualifications

• Associate degree or equivalent experience in eligibility services required.
• Experience with applying for public assistance programs preferred.
• Bilingual abilities are preferred.

Responsibilities

• Conduct needs-based assessments to understand each patient's healthcare and financial situation.
• Verify eligibility for healthcare programs by reviewing personal and financial information.
• Educate patients on available health benefits and enrollment options.
• Explain criteria and guide informed decision-making while promoting program benefits.
• Assess financial need by reviewing income statements and tax documents.
• Prepare and submit applications for MPHC Sliding Fee, AHCCCS, SNAP, and Marketplace.
• Ensure all required documentation and signatures are included; maintain audit-ready records.
• Implement updates to eligibility programs and sliding fee discounts per state and federal changes.
• Maintain regular attendance and perform other duties as assigned.

Skills

Active listening

Customer service

Eligibility assessment

Program enrollment

Documentation

Bilingual (EN/SP)

Education

Associate degree in Liberal Arts, Human Services, or Business

Two years of eligibility services experience

Four years of eligibility services experience

Job description

Brief Description

The Eligibility Specialist screens and assists with the application process for federal and state medical assistance programs, Mountain Park Health Center (MPHC) discount program, and other related programs. This position plays a crucial role in ensuring that individuals are screened for eligibility to receive appropriate healthcare services, meet the criteria for these programs, and maintain compliance with established guidelines.

Essential Duties And Responsibilities

• Conducts comprehensive needs-based assessments to understand each patient's unique healthcare and financial situation. Uses active listening to identify underlying needs, potential barriers to care, and opportunities for support.
• Verifies patient eligibility for various healthcare programs by gathering, reviewing, and updating personal and financial information. Aligns program options with the patient’s expressed needs and priorities to ensure the most appropriate support is offered.
• Educates and consults with patients on available health benefits using a solution-oriented approach.
• Explains eligibility criteria, guides patients through informed decision-making, and facilitates enrollment while reinforcing the value and benefits of selected programs.
• Assesses financial need by reviewing income statements, tax documents, and other financial records to determine eligibility for assistance programs.
• Prepares and submits applications for medical assistance programs such as MPHC Sliding Fee, AHCCCS (State Medicaid), Supplemental Nutrition Assistance Program (SNAP), and the Health Insurance Marketplace.
• Ensures all required documentation and signatures are included. Maintains strict program compliance by producing high-quality, audit-ready work that meets internal and external regulatory standards.
• Reviews and executes the implementation of new medical assistance programs, and promptly apply all changes mandated by state, federal, and local eligibility programs, including updates to the sliding fee discount.
• Maintains regular and predictable attendance.
• Performs other duties as assigned.

Position Qualifications

Minimum Qualifications:

EDUCATION And/or EXPERIENCE

• Associate degree in Liberal Arts, Human Services, or Business, and two (2) years of experience in eligibility services, benefit qualification enrollment assessment, direct customer services, and application processing; or
• Four (4) years of experience in eligibility services, benefit qualification enrollment assessment, direct customer services, and application processing

CERTIFICATES, LICENSES, REGISTRATIONS

• Must complete the required certification assessment to process eligibility applications and maintain required eligibility certification annually.

Preferred Qualifications

• Experience in insurance verification and eligibility services.
• Bilingual