Enrollment & Eligibility Specialist (ACA & AHCCCS)

El Rio Community Health Center; Williams (AZ); On-site; USD 40,000 - 52,000; Full time

Job summary

El Rio Community Health Center is seeking an Eligibility Specialist for Elk Ridge in Williams, Arizona. The role focuses on determining eligibility for ACA Marketplace, AHCCCS, and discount programs while guiding clients through enrollment processes and providing accurate information to staff and community members.

Successful candidates will have strong customer service skills, familiarity with health program regulations, and the ability to train others on evolving eligibility requirements.

Qualifications

• Demonstrates exceptional customer service and communication skills.
• Knowledge of Medicaid/AHCCCS and ACA marketplace programs preferred.
• Ability to adhere to HIPAA and corporate compliance standards.

Responsibilities

• Determine eligibility for services including ACA Marketplace, AHCCCS, and discount programs.
• Provide enrollment assistance and information on eligibility requirements.
• Train staff on regulatory changes and program updates.
• Generate reports and assist with data entry for program systems.
• Support consumers with enrollment to HEAPlus and ACA Marketplace applications.
• Serve as liaison to internal departments for problem-solving and training.

Skills

Customer service

Bilingual English/Spanish

Education

High School Diploma

Job description

El Rio Community Health Center is seeking an Eligibility Specialist for Elk Ridge in Williams, Arizona. The role focuses on determining eligibility for ACA Marketplace, AHCCCS, and discount programs while guiding clients through enrollment processes and providing accurate information to staff and community members.

Successful candidates will have strong customer service skills, familiarity with health program regulations, and the ability to train others on evolving eligibility requirements.