Health Eligibility and Access Supervisor

Health Eligibility and Access Supervisor at San Francisco Community Health Center summary :

The Health Eligibility and Access Supervisor at San Francisco Community Health Center oversees patient eligibility and billing processes, ensuring timely and accurate submissions for medical, dental, mental health, and enhanced care management services. This role supervises a team, manages the Sliding Fee Discount Program to promote equitable access to care, and collaborates with various healthcare and insurance providers to resolve coverage issues. They also support compliance reporting, provider enrollments, and staff development in a culturally competent environment serving marginalized communities.

Health Eligibility & Access Supervisor

Agency Description :

San Francisco Community Health Center is a federally qualified health center that provides culturally competent high quality medical care, mental health services, education, and outreach. We are a safety-net for the LGBTQ community, the unsheltered community, people who use substances, and those with mental health needs. We are an anchor-organization for San Francisco's Tenderloin neighborhood, and we also lead regional, statewide, and national programming. We believe that everyone deserves access to the highest quality care served with dignity and respect.

About You :

• You focus and center your work around giving a high level of service.
• You are empathetic in responding to any situation with compassion and curiosity.
• You are driven by your own internal integrity as well as that of the agency.
• You have a justice and equity mind-set.
• You feel that everyone deserves dignity and respect.
• You consistently pay attention to details.
• You collaborate well in a diverse and interdisciplinary workplace.

Role Summary :

The Health Eligibility & Access Supervisor plays a pivotal role in the new Clinic Revenue Operations unit San Francisco Community Health Center (SFCHC). This new role reports to the Revenue Cycle Manager and ensures accurate, complete, and timely submission of claims for medical, dental, mental health and enhanced care management (ECM). The Health Eligibility & Access Supervisor administers Sliding Fee Discount Program ensuring everyone will have access to whole person care regardless of ability to pay. This role will work collaboratively with the ECM unit and our third-party provider, Ochin Billing Services (OBS). Health Eligibility and Access Supervisor supervises 2 eligibility and 2 patient engagement specialists. This role works on site, full-time.

Essential Duties :

Qualifications and Requirements :

Benefits :

Competitive compensation

Comprehensive health, vision, and dental insurance

Company sponsored life, and long-term disability insurance

Generous paid time off including paid holidays

Company-sponsored retirement plan

Opportunities for professional growth and development

EEOC Statement :

San Francisco Community Health Center is an equal opportunity employer committed to identifying and developing the skills and leadership of people from diverse backgrounds. San Francisco Community Health Center does not discriminate based on age, ancestry, citizenship status, color, creed, disability status, gender identity, HIV status, marital status, medical condition, genetic information, national origin, pregnancy, race, religion, sex, sexual orientation, veteran status, or any other legally protected class.

Keywords :

health eligibility, billing and claims processing, Medi-Cal verification, Sliding Fee Discount Program, patient access, care management, medical billing, claims submission, healthcare supervision, culturally competent care