HIV Care Eligibility Coordinator

Virginia Commonwealth University School of Medicine; Richmond (VA); On-site; USD 47,000 - 52,000; Full time

Benefits offered by this job

Health benefits

Paid annual leave

Tuition benefits

Job summary

Virginia Commonwealth University School of Medicine in Richmond is seeking a Ryan White Part C Eligibility Coordinator to determine, document, and maintain client eligibility for services funded through the Ryan White HIV/AIDS Program. You will conduct eligibility screenings, coordinate recertifications, maintain confidential records in EPIC and CAREWare, and support access to HIV care.

You will work with case management and program compliance teams, resolving issues and ensuring uninterrupted

Qualifications

• 3 to 5 years of relevant professional experience or equivalent combination of education, training, and experience.
• Knowledge of state, federal, and private health insurance and social service benefits.
• Excellent interpersonal skills.
• Excellent oral and written communication skills.
• Ability to work independently under minimum supervision and as part of a team.
• Strong attention to detail.
• Experience with data collection/entry.
• Ability to work and communicate effectively with individuals from culturally and socioeconomically unique backgrounds.
• Must have the ability to meet specific deadlines and coordinate multiple tasks.
• Knowledge of HIPAA and ability to implement privacy and confidentiality practices.

Responsibilities

• Eligibility Recertification: Conduct ongoing eligibility screenings for Ryan White Part C clients in accordance with HRSA and VCU RWP requirements.
• Verify and document HIV status, residency, income, and insurance coverage.
• Complete eligibility determinations every calendar year.
• Ensure timely recertification to prevent service gaps.
• Maintain complete, accurate, and confidential eligibility records in EPIC and CAREWare, ensuring RSR-related data elements are entered accurately.
• Educate clients on Ryan White services, eligibility requirements, and recertification timelines.
• Serve as a liaison between clients and case management regarding eligibility and coverage issues.
• Identify and elevate eligibility or documentation issues that may impact service access or compliance.
• Collaborate with program managers, providers, billing staff, and case managers to ensure eligibility information supports service delivery and billing.
• Other Duties as Assigned: Assist as needed to complete program objectives.
• Attend supervisor-required meetings, trainings, and competencies, and discuss achievements or opportunities for improvement.
• Professional Development/Continuing Education: Engage in professional development/ continuing education and provide feedback to peers and leadership.

Skills

Interpersonal skills

Oral and written communication

Attention to detail

Data collection/entry

HIPAA/privacy practices

Independent work

Teamwork

Deadline coordination

Health insurance knowledge

Cultural competence

Tools

EPIC

CAREWare

Job description

Virginia Commonwealth University School of Medicine in Richmond is seeking a Ryan White Part C Eligibility Coordinator to determine, document, and maintain client eligibility for services funded through the Ryan White HIV/AIDS Program. You will conduct eligibility screenings, coordinate recertifications, maintain confidential records in EPIC and CAREWare, and support access to HIV care.

You will work with case management and program compliance teams, resolving issues and ensuring uninterrupted