Enrollment and Outreach Specialist

Neighborhood Health Center; Richmond (IN); On-site; USD 24,000 - 34,000; Full time

Job summary

Neighborhood Health Center in Richmond, IN seeks an Enrollment and Outreach Specialist to provide client-focused, community-based services. The role helps clients access insurance coverage and removes barriers to care, with emphasis on Medicaid/Medicare options and outreach.

This full-time position includes travel to outreach events, documentation in patient records, and certification requirements (Indiana Navigator, CAC, SHIP) within set timeframes, starting pay at $21.11 per hour.

Qualifications

• Required: High school graduate or GED equivalent.
• Required: 1-3 years in healthcare, business or accounting field.
• Preferred: Working knowledge of NextGen, Soarian Financials, and/or EPIC, Medicare/Medicaid compliance regulations, Microsoft Office.
• Certification deadlines: Indiana Navigator 30 days, CAC 60 days, SHIP 90 days.

Responsibilities

• Schedules appointments to assist clients with Medicaid, SNAP, HIP, CHIP and Marketplace applications.
• Assists clients through Medicaid appeal process.
• Supports Sliding Fee applications and maintains coverage.
• Educates clients about Medicare options and insurance plans.
• Maintains current knowledge of Medicare, Marketplace and Medicaid options.

Skills

Insurance enrollment

Medicaid/Medicare navigation

Documentation

Communication skills

Education

High school diploma or GED

Tools

NextGen

Soarian Financials

EPIC

Microsoft Office

Job description

Position:Enrollment and Outreach Specialist

Location: Richmond, IN

Job Id:211

# of Openings:1

Enrollment and Outreach Specialist

Position Summary

NHC Enrollment & Outreach Specialist provides client oriented and community-based services. Employees in this role understand the community need for client advocacy, insurance coverage or other assistance, and removing barriers to excellent healthcare.

Schedule: Full-time, 40 hours per week

Pay:Beginning at $21.11

Supervisory Responsibilities:No supervisory responsibilities

Professional Behaviors and Expectations

• Maintains strict confidentiality of client and organizational information.
• Documents so anyone reading can understand the story; if you didn’t document, it didn’t happen.
• Embraces change, as change is constant. Has a mindset that is open to new knowledge and perspectives.
• Never stops learning and growing. Inspires growth in others.
• Presents a positive attitude.
• Holds oneself and others accountable. Focuses on doing things right and doing the right things.
• Supports team by recognizing and celebrating successes and failures, giving credit publicly, actively participating in team activities, treating team members with respect and dignity.
• Perseveres to the finish.
• Assists, where needed, to meet the needs of the organization, even if it’s not a task that is part of your normal routine. (Examples: office cleaning, shoveling snow off the sidewalk, attending an outreach event, assisting in another clinic) You will not be requested to complete any tasks outside of your scope of practice.
• Ensures compliance with all organizational policies, safety standards, and regulatory requirements.

Essential Duties and Responsibilities

• Schedules appointments to assist clients and members of the community in completing Medicaid, SNAP (Food stamps), HIP (Healthy Indiana Plan), CHIP (Children's Health Insurance Plan) and Marketplace applications.
• Assists clients through the appeal process for Medicaid application denials.
• Assists clients with Sliding Fee applications.
• Assists clients with maintaining coverage by providing case follow-up assistance
• Educates clients and members of the community of Medicare options.
• Provides courteous, professional, and confidential assistance to all clients seeking healthcare access and information.
• Maintains current knowledge of insurance options within Medicare, Marketplace and Medicaid.
• Operates and maintains certified as an Application Counselor, Indiana Navigator and SHIP (State Health Insurance Assistance Program) Counselor.
• Participates in IPHCA (Indiana Primary Health Care Association) Navigator meetings and trainings, sharing information as appropriate.
• Participates in marketing and outreach events within local communities about health insurance options through Medicare, Indiana Medicaid and Health Insurance Marketplace options.
• Must be willing to travel for outreach events, training opportunities, in between NHC's clinics to be available to clients, and be flexible with work/schedule hours to potentially meet with clients who need assistance.
• Other duties as assigned.

Qualifications-Education

Required:High school graduate or GED equivalent

Preferred:N/A

Qualifications-Experience

Required:1-3 years in healthcare, business or accounting field

Preferred:Working knowledge of NextGen, Soarian Financials, and/or EPIC, Medicare/Medicaid compliance regulations, Microsoft Office

Required Licensure/Certification

An expectation of this position is that you successfully complete the Indiana Navigator Certification within 30 days, the CAC (Certified Application Counselor) Certification within 60 days, and the SHIP Counselor Certification within 90 days of employment.

Knowledge, Skills and Abilities

• Demonstrates community based and culturally sensitive interpersonal skills.
• Promotes and acts as a role model in a team-based setting with an attitude that is positive, respectful for the individual regardless of differences.
• Must have the ability to work cooperatively with all staff and departments.
• Excellent communication skills, both written and verbal, are required, including strong skills in personal diplomacy.
• Must be capable of demonstrating excellent problem solving and assisting others in problem solving.
• Seeks professional development opportunities.
• A calm, pleasant professional demeanor.
• Demonstrated ability in handling client confidentiality.
• Document conversations with patients in the medical record utilizing appropriate software or guidelines established by the practice.

Work Environment

Setting

Office Clinic Outreach Events

Overtime

No Minimal Occasional Often as needed to care for clients

Holidays

No Minimal Occasional Often

Weekends

No Minimal Occasional Often as needed to care for clients and attend outreach events

Different Shifts

No Minimal Occasional Often as needed to care for clients and attend outreach events

On-Call

No Minimal Occasional Often

Travel

No Minimal Occasional Often as needed to care for clients between offices and for outreach events

Physical Requirements

Heavy Lifting

Yes No

Exposure Limit: not greater than 50 pounds

Pushing Pulling

Yes No

Exposure Limit: not greater than 50 pounds

Standing

Yes No

Exposure Limit: 20% of shift

Sitting

Yes No

Exposure Limit: 90% of shift or less

Walking

Yes No

Exposure Limit: 20% of shift

Climbing

Yes No

Exposure Limit: stairs, at 10th Street Clinic and outreach events

Fine Manipulation

Yes No

Exposure Limit: 75% of day

Other Exposures: Communicable diseases (influenza), body substances, pests, and angry/upset patients. This description is intended to describe the general nature and most essential duties to be performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required. Management has the right to assignor reassign duties and responsibilities to the job at any time. All NHC campuses are smoke-free.