Health Advocate - Enrollment Counselor

Gracelight Community Health; Los Angeles (CA); On-site; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a passionate Health Advocate to empower community members in navigating health insurance programs. This role involves outreach, education, and support for individuals facing barriers to healthcare access. You will be instrumental in guiding families through the enrollment process for state and county health programs like Medi-Cal and Covered CA. Join a dedicated team focused on improving health outcomes and fostering community engagement. If you are a self-starter with a commitment to service excellence and a desire to make a difference, this opportunity is perfect for you!

Qualifications

• High School diploma or equivalent required.
• Ability to learn about state and county health programs.

Responsibilities

• Assist community members with health insurance applications.
• Conduct outreach to promote health coverage programs.
• Provide education on health plan benefits and utilization.

Skills

Customer Service

Community Outreach

Health Insurance Knowledge

Problem Solving

Public Speaking

Computer Literacy

Education

High School Diploma

CEC Certification

Tools

Health-E-APP

One-E-APP

CALHEERS

Job description

Join to apply for the Health Advocate - Enrollment Counselor role at Gracelight Community Health.

The purpose of the Health Advocate is to work within the communities we serve, to identify community leadership and community members who are eligible for County Health programs, State programs such as Medi-Cal and Covered CA (Affordable Care Act), provide all program insurance information, assist in filling out applications for the members of the community and assist prospects in enrolling for these health insurance programs. The Health Advocate will also help empower individuals to overcome enrollment problems for all county and state programs such as Medi-Cal and Covered CA, and health access barriers. The Health Advocate will conduct outreach and in-reach efforts to current and potential members of Gracelight Community Health. The Health Advocate functions as a community organizer, health insurance "broker", by identifying appropriate health coverage that the prospect qualifies for, promotes health insurance utilization and retention and helps recruit new members to the Gracelight Community Health.

Essential Job Duties And Responsibilities

• Support and implement the organization’s vision, mission and values.
• Determine priorities and method of completing daily workload to complete responsibilities in a timely manner.
• Perform all job functions in a professional and courteous manner. This includes answering all phone calls and emails timely and providing excellent customer service to internal and external customers.
• Maintain expertise in eligibility, enrollment and program specifics for all county and state programs such as Covered CA and Medi-Cal.
• Provide information in a fair, accurate and impartial manner.
• Develop and maintain updated information to help understand the composition of the communities in the service area, including the primary languages spoken.
• For Covered CA, the Certified Enrollment Counselor (CEC) must wear the Covered CA assigned badge when enrolling or disseminating information regarding Covered CA.
• Foster and promote a culture of service excellence and accountability.
• Assist eligible families with completing and submitting the appropriate health insurance application/s, including assistance with gathering necessary documents and resolving problems.
• Process applications using Health-E-APP, One-E-APP, CALHEERS or other web-based programs.
• Conduct client intakes by phone and in person to determine their immediate healthcare needs and connect them to the proper resources.
• Provide support and education to assist families when a problem with health coverage arises. May act as family liaison with various health coverage programs.
• Provide education and information to families about utilization of health coverage, plan benefits, and maintaining coverage.
• Promote awareness and access to healthcare through no-cost/low-cost health coverage programs.
• Review applications for completeness and accuracy for county and state programs such as Medi-Cal or Covered CA.
• Maintain CEC certification to access the CALHEERS and Covered CA web sites for enrollment purposes.
• Assist with health education and outreach opportunities in the community such as health fairs, presentations, and special events as needed.
• Demonstrate ability and flexibility to work in other areas and/or locations of the organization as needed.
• Track all applications and help families with appeals when appropriate.
• Contact families at the time their annual renewal is due to offer re-enrollment assistance.
• Contact potential leads identified at Outreach Events (Health Fairs, Resource Fairs, etc.) to schedule enrollment appointments.
• Conduct in-reach by contacting families associated with QueensCare Health Centers as needed.
• Refer families to appropriate community programs according to each family's needs.
• Attend monthly training meetings, and other periodic trainings to retain the most current understanding of enrollment programs.
• Maintain the most current and up-to-date knowledge of Health Plans, Health Insurance(s), Program Eligibility, Medi-Cal updates, Medi-Care updates, Federal/State/County programs updates and all other health programs available to current and prospective patients of QHC.
• Complete data tracking, monthly reports and client file-related paperwork on a routine basis.
• Perform outbound calls to members aging into Medi-Care.
• Perform outbound calls to members due for redetermination of health coverage.
• Assist patients with MyChart registration.
• Comply with organizational policies and procedures.
• Must be willing and able to work at all locations as needed to meet patient care needs.
• Must be willing and able to work all business hours including evenings and weekends.
• Perform all other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

• High School diploma or equivalency certificate required.
• Ability to learn about and understand state and county programs such as Medi-Cal, Covered CA (Affordable Care act) and other health insurance programs required.
• A valid CEC certification, requiring annual renewal (GCH will sponsor upon hiring).
• Successfully pass the Live Scan background check for a CEC.
• Sales/Marketing and public speaking and presentation experience preferred.

Language Skills

Ability to read and interpret documents, such as policies and procedures, benefits information, benefit surveys, board minutes, routine mail, simple contracts, and procedure manuals. Ability to compose routine reports and correspondence. Ability to speak effectively with employees, visitors and management.

Mathematical Skills

Ability to calculate figures and basic math.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Ability to apply common sense to daily situations that arise. Ability to make decisions and execute to produce a positive outcome.

Other Skills And Abilities

• Exercise good judgment.
• Ability to identify and access appropriate community resources and work with community leaders.
• Familiarity with multicultural settings and sensitivity to multicultural issues.
• Self-starter, able to take initiative and provide input for decision-making.
• Computer literate.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel and reach with hands and arms. The employee frequently is required to stand, walk, and sit. The employee is occasionally required to climb or balance, stoop, kneel, crouch or sit. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds. The employee is occasionally required to ascend and descend one flight of stairs. Specific vision abilities required by the job include close vision, color vision, and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is often low. However, there are many times when there is a high ambient background noise of phones and multiple conversations. Must be able to screen out the background noise to concentrate on the work at hand.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Legal
• Industries
• Hospitals and Health Care