Patient Eligibility Specialist

Vista Community Clinic; Vista (CA); On-site; USD 30,000 - 32,000; Full time

Benefits offered by this job

Competitive compensation & benefits

Medical, dental, vision

Company-paid life insurance

Flexible spending accounts

403(b) retirement plan

Job summary

Vista Community Clinic (VCC) in Vista, California is seeking a Dedicated Enrollment Counselor to help patients complete eligibility packets and enroll in healthcare insurance plans. You will schedule appointments, guide patients through required documents, and coordinate with the insurance group and clinic staff.

The role requires bilingual English/Spanish, strong customer service, and familiarity with computers and Microsoft Office.

Qualifications

• High school graduate or equivalent is required.
• Bilingual English/Spanish required.
• Experience with computers, email, and internet search is expected.

Responsibilities

• Assist patients with eligibility and healthcare insurance enrollment or renewal.
• Schedule appointments for patients.
• Instruct on documents needed for eligibility process and overview of available options.
• Assign patients a primary care provider (PCP).
• Reschedule missed appointments and track insurance status.
• Compile statistics and reports on patients assisted and insurance retention.
• Serve as liaison between patients, insurance group, and Vista Community Clinic for enrollment information.

Skills

Bilingual English/Spanish

Customer service

Interpersonal skills

Verbal & written communication

Microsoft Office (Word & Excel)

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Overview

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it's about hope, community, and impact. For over 50 years, we've been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it's needed most.

As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

Benefits

• Competitive compensation & benefits
• Medical, dental, vision
• Company-paid life insurance
• Flexible spending accounts
• 403(b) retirement plan

Why VCC?

Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

A robust training & development culture to help you grow and advance your career.

A workplace built on respect, collaboration and passion for care.

Responsibilities

Assist patients in completing eligibility and application packets for healthcare insurance enrollment or renewal.

Essential Job Functions

• Schedule appointments for patients
• Instruct patients on the documents necessary for the eligibility process, and provide an overview of available healthcare insurance options
• Assign patients a primary care provider (PCP)
• Reschedule patients who miss appointments
• Conduct follow-up and perform tracking activities to monitor patient's insurance status; assist with re-application process
• Compile statistics and reports on the number of patients assisted, including application status, health insurance retention, healthcare utilization, and other information as needed
• Act as a liaison between the patient, healthcare insurance group, and VCC for enrollment information, and for maintenance of healthcare insurance
• Attend trainings and other meetings as required
• Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and workshops

Qualifications

Minimum Qualifications

• High school graduate or equivalent
• Certified Enrollment Counselor certification must be obtained within 60 days of hire and annually thereafter
• Valid California driver's license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes; minimum two years' driving experience
• Bilingual English/Spanish

Preferred Qualifications

• Covered California Certified Enrollment Counselor (CEC)

Required Skills/Knowledge/Abilities

• Knowledge of community health centers, and public assistance programs, state and federal regulations and managed care systems
• Effective verbal and written skills necessary for communication, in both English and Spanish, with patients/clients, providers and other staff
• Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs
• Strong interpersonal skills
• Excellent customer service skills and commitment to providing the highest level of customer satisfaction
• Ability and willingness to meet the organization's attendance and dress code policies
• Ability to handle confidential materials and information in a professional manner
• Experience/familiarity with computers, business e-mail, communication systems and internet search capabilities and proficient in Microsoft Office products, specifically Word and Excel

Pay Rate:

• $22.00 - $23.00 per hour, Depending On Experience