Ryan White Eligibility Specialist

University Of Nebraska Medical Center; Omaha, Northern (NE, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

University of Nebraska Medical Center seeks a Ryan White Eligibility Specialist to manage end-to-end eligibility and enrollment for Ryan White programs. The role ensures HIV patients receive access to core medical and support services while maintaining compliance with federal policies.

Key duties include conducting eligibility assessments, adjudicating applications, and assisting patients with state, federal, and private insurance options, keeping Ryan White as payor of last resort.

Qualifications

• Associate's degree or equivalent (NOTE: Concentration and minors are not equivalent to a major)
• Will consider five years education/related experience.
• 3 years experience in social services, human services, public health, with understanding of state and federal benefits (Medicare, Medicaid, ACA, private insurance).

Responsibilities

• Oversee end-to-end eligibility and enrollment for Ryan White programs at UNMC.
• Educate, assess, and assist patients in identifying insurance options while ensuring program paysor-last-resort status.

Job description

Equal Employment Opportunity

UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.

Location

Omaha, NE

Requisition Number

Staff_15028

Department

Int Med Infectious Diseases 50000589

Business Unit

College of Medicine

Reg-Temp

Full-Time Regular

Work Schedule

Weekdays and weekends; Hours may vary

Remote/Telecommuting

No remote/telecommuting opportunity

Position Summary

The Ryan White Eligibility Specialist is responsible for the end-to-end administration of client eligibility and enrollment for the University of Nebraska Medical Center ( UNMC ) Ryan White programs. This role serves as a critical link to ensuring that individuals with HIV receive continuous access to core medical and support services while maintaining compliance with HRSA / HAB federal policies and guidelines. Key duties include conducting comprehensive eligibility assessments, adjudicating applications, The Ryan White Eligibility Specialist also acts as an advocate, educating, assessing and assisting patients with identifying state, federal and private insurance options and ensuring the Ryan White program remains a payor of last resort.

Initial Application Review

Initial application review will begin on the date provided in the field above. Applications received prior to this review date will be considered. Applications received after the review date may be considered.

Required and Preferred Qualifications

Required Education: Associate's degree or equivalent (NOTE: Concentration and minors are not equivalent to a major)

Will consider five years education/related experience.

Required Experience: 3 years

Experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance).

Will consider five years education/related experience.

Required License: No

Required Computer Applications: Not Applicable

Additional Knowledge, Skills and Abilities:

• 1. Excellent interpersonal skills.
• Communication Skills: Strong verbal and written skills. This position will be communicating with clinical personnel, patients, internal staff and external entities including but not limited to local, state and federal government programs, insurance companies, and community resource entities
• 2. Cultural Competence: Ability to work with and build trust with diverse, vulnerable populations affected by HIV.
• 3. Results Driven Professional: Evidence of self-motivation, creativity, and flexibility in meeting objectives.
• 4. Analytical Skills: Analytical Skills: Ability to collect, organize and analyze situations and information to identify gaps, or barriers, search out pertinent facts, identify and assist with logical, actionable solutions.
• 5. Computer proficient.
• 6. Organizational Skills: Proficient in managing complex projects, prioritizing multiple tasks, attention to detail and accuracy to enhance outcomes.
• 7. Ability to work effectively with department coworkers, research subjects and external customers.
• 8. Confidentiality: Strict adherence to HIPAA and confidentiality standards.

Preferred Education: Community Health Education, Human Services, Social Services, Public Health.

Preferred License: No

Preferred Computer Applications: Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook

Preferred Additional Knowledge, Skills and Abilities: EPIC

Application Screening Questions

Required fields are indicated with an asterisk (*).

• * Do you have a high school education or equivalent?
  • Yes
  • No
• * Do you have experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance)?
  • Yes
  • No
• * If you do have experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance), please elaborate (If No, indicate NA).

  (Open Ended Question)

• * How did you hear about this position?
  • Careerlink
  • Employee Referral
  • HERC
  • Indeed
  • Job Fair
  • Lincoln Journal Star
  • Linkedin
  • Omaha World Herald
  • UNMC Job Site
  • Facebook
  • NEWorks
  • Handshake
  • Other
• * If Other, please specify the source. Otherwise, indicate NA.

  (Open Ended Question)

• * Within the past 6 months, have you been affected by a reduction in force or grant funding expiration with the University of Nebraska Medical Center?
  • Yes
  • No

Individuals who need accommodation during the online application or interview process may contact 402-559-4070 or [e-mail] to request an accommodation.