Member Services Specialist

Open Door Community Health Centers; United States; On-site; USD 38,000 - 44,000; Full time

Benefits offered by this job

Medical, dental, vision

Retirement plans

Paid training

Wellness support

Job summary

Open Door Community Health Centers is seeking a Member Services Specialist to assist patients with program enrollment and eligibility for healthcare programs. You will collaborate with front office, medical staff, and outreach teams to identify eligible patients and coordinate enrollment across services.

The role emphasizes education on programs, data tracking, and coordination with community agencies. A strong teamwork mindset and proficiency with EMR and Office are essential.

Qualifications

• High school diploma or GED required.
• Ability to identify patient needs and assist with program enrollment.
• Strong communication and interpersonal skills.

Responsibilities

• Schedules and assists patients/members with program enrollment process, including patient/member education on available programs, eligibility and related requirements.
• Coordinates with ODCHC staff, community partners, and others as appropriate to identify patients/members for program enrollment.
• Refers patients/members to other inter-agency departments or community health/ social services as needed.
• Attends meetings/trainings and reviews literature to maintain a current knowledge of programs and services available and pertinent regulations and eligibility requirements.
• Coordinates with agency staff for publicity and outreach initiatives for availability of programs to patients and the community.
• Proposes program initiatives for increased program enrollment.
• Coordinates with other community agencies as appropriate for increased enrollment program capacity.
• Tracks enrollment and program data.
• Other duties and responsibilities as designated by supervisor.

Skills

Interpersonal skills

Report writing

Microsoft Office/EMR

Team collaboration

Customer service

Education

High school diploma / GED

Tools

EMR systems

Microsoft Office

Job description

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access Third Street Services The Member Services Specialist is responsible for knowing eligibility requirements for programs available to pay for services or otherwise benefit ODCHC patients. The Member Services Specialist assists patients/members with the application, enrollment, and redetermination process for all available programs. The Member Services Specialist collaborates with front office, medical support, and health outreach staff to identify ODCHC patients for program enrollment and other assistance as appropriate, as well as coordinates with other community agencies as applicable to conduct eligibility and enrollment related community outreach.

Compensation Range: $27.75-$32.11 All new hires will begin at the base wage of this position.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Schedules and assists patients/members with program enrollment process, including patient/member education on available programs, eligibility and related requirements.
• Coordinates with ODCHC staff, community partners, and others as appropriate to identify patients/members for program enrollment.
• Refers patients/members to other inter-agency departments or community health/ social services as needed.
• Attends meetings/trainings and reviews literature to maintain a current knowledge of programs and services available and pertinent regulations and eligibility requirements.
• Coordinates with agency staff for publicity and outreach initiatives for availability of programs to patients and the community.
• Proposes program initiatives for increased program enrollment.
• Coordinates with other community agencies as appropriate for increased enrollment program capacity.
• Tracks enrollment and program data.
• Other duties and responsibilities as designated by supervisor.

QUALIFICATIONS AND EXPECTATIONS:

• Ability to identify and differentiate needs of patients/members and provide assistance and stimulate interest in accessing healthcare coverage and other program opportunities.
• Strong interpersonal skills and the ability to establish constructive professional working relationships among a diverse workforce.
• Ability to work as a member of a team and independently as needed.
• Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
• Ability to write routine reports and correspondence.
• Ability to effectively represent ODCHC's interests in the community and maintain effective working relationships among co-workers, public, private, and professional groups.
• Strong computer skills with specific aptitude in Microsoft Office Suite and/or Electronic Medical Records (EMR).
• Adheres to ODCHC's policies and procedures.

EDUCATION AND EXPERIENCE:

• High school diploma or GED.

CERTIFICATES, LICENSES, REGISTRATIONS: None.

SUPERVISORY RESPONSIBILITIES:

None.

SUPERVISION AND SUPPORT:

The Member Services Specialist reports directly to the Member Services Supervisor and is an integral member of the Member Services team.

PHYSICAL REQUIREMENTS:

• This is largely an office-based position.
• The physical requirements described are representative of those needed to successfully perform the essential duties of the position.
• Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.
• Ability to communicate via telephone, video, and/or in-person.
• Vision adequate to read documents, computer screens, forms.
• Ability to remain stationary for extended periods.
• Ability to lift, carry, or otherwise move up to 25 pounds.
• Ability to use keyboard and view computer screens for extended periods.
• Ability to travel locally and long-distance as needed.
• Ability to move around offices and clinics as needed.

Open Door Community Health Centers was founded in 1971 and is dedicated to providing healthcare and education to the residents of Humboldt County, Del Norte County, and surrounding rural areas. We offer a comprehensive range of healthcare services, including Primary Medical Care, Pediatric Services, Chronic Illness Management, Dental Care, Pregnancy, Prenatal Services, and more. Recognizing the critical importance of accessibility, we proactively identify areas with unique healthcare needs and extend our high-quality healthcare services and educational programs to individuals who face obstacles such as financial constraints, geographical isolation, or social barriers. Open Door Community Health Centers has earned recognition as one of the best places to work in Humboldt County. Our focus on employee well-being includes offering free monthly online therapy sessions, interactive training opportunities, educational programs, and various employee appreciation events throughout the year. We provide comprehensive benefits, including medical, dental, vision, and retirement plans, to all full-time employees and some part-time employees. For those looking to embark on a new career in the medical or dental fields, Open Door offers paid training for many entry-level positions. Explore our list of open positions today and take the first step towards a rewarding career with us!

Open Door participates in the E-Verify program. This means we use E-Verify to confirm the employment eligibility of all newly hired employees by electronically verifying information from their Form I-9 with the Social Security Administration and the Department of Homeland Security. Participation in E-Verify is voluntary for our organization, but we are committed to maintaining a legal and compliant workforce.

Notice of Non-Discrimination:

Open Door Community Health Centers does not discriminate based on citizenship status or national origin in accordance with 8 U.S.C. § 1324b.

For more information about E-Verify, please visit: E-Verify Website (https://www.e-verify.gov/)