Reports to: Eligibility Manager 

Position Overview:  

Position is directly involved in establishing and documenting client eligibility for various programs and benefits 

Job Duties & Responsibilities: 

• Responsible for intakes, updates, and compliance 

• Manage the schedule of client appointments  

• Research and resolve client eligibility issues thoroughly, timely manner, and accurately 

• Respond timely to member eligibility inquiries from internal and external stakeholders 

• Request necessary information to determine eligibility in a timely and accurate manner 

• Maintains confidentiality of all business matters  

• Maintain files for incoming eligibility documents and new client referrals 

• Complete client enrollments and renewals 

• Complete outcome measurements for clients 

• Complete internal audits, and preparations as needed for external audits 

• Manually update member eligibility data in the Client Services database 

• Manage emergency client renewals and requests for assistance 

• Provide guidance to clients as a healthcare professional 

• Refer clients to case managers who need additional services 

• Other duties as assigned 

Job Requirements & Qualifications: 

• Associate’s degree or 3+ years in the HIV field; experience may substitute for education 

• 1 year of previous experience in determining Ryan White eligibility is preferred. 

• Familiarity with Microsoft Office applications 

• Ability to work efficiently and effectively with clients from underserved populations 

• Ability to work efficiently and effectively with a diverse set of co-workers 

• Strong time management skills 

• Excellent written & oral communication skills 

• Excellent technical & business acumen 

• Spanish-Speaking Preferred