Hospital Eligibility Operations Lead (Remote/Hybrid)

HealthFund Solutions LLC; Daytona Beach (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

HealthFund Solutions LLC is seeking an Eligibility Manager to oversee daily operations at the Daytona Beach hospital site. You will coordinate meetings, manage eligibility determinations for Florida Medicaid and Social Security Disability, handle audits and reporting to the Eligibility Assistant Director, and mentor staff while ensuring HIPAA compliance.

The role requires strong communication, organizational, and problem-solving skills, flexibility to cover evenings or weekends, and a commitment

Qualifications

• High school diploma required.
• Associate degree preferred.
• Strong knowledge of Florida Medicaid and SSDI eligibility.
• Experience with HIPAA and confidentiality.
• Excellent communication and organization skills.
• Bilingual preferred.

Responsibilities

• Attend and facilitate hospital meetings and conference calls.
• Manage eligibility determinations and rollovers to caseworkers.
• Report callouts, timecard corrections, and attendance to director.
• Audit accounts and file hearings as needed.
• Develop professional relationships with hospital staff and HealthFund Solutions colleagues.

Skills

Communication

Organization

Time management

HIPAA/compliance

Problem-solving

Bilingual (English/Spanish)

Education

High school diploma

Associate’s degree

Job description

HealthFund Solutions LLC is seeking an Eligibility Manager to oversee daily operations at the Daytona Beach hospital site. You will coordinate meetings, manage eligibility determinations for Florida Medicaid and Social Security Disability, handle audits and reporting to the Eligibility Assistant Director, and mentor staff while ensuring HIPAA compliance.

The role requires strong communication, organizational, and problem-solving skills, flexibility to cover evenings or weekends, and a commitment