Operations - Eligibility Enrollment Specialist

Marana Health; Tucson (AZ); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

403(b) with employer contribution

Short-term disability and other benefi

Paid time off including holidays and S

Paid bereavement, jury duty, and社区服务时间

Job summary

MHC Healthcare in Marana, AZ is seeking an Eligibility Enrollment Specialist to join the outreach team at the Marana Main Health Center. The role identifies and educates prospective enrollees, conducts initial screening for AHCCCS, Marketplace Insurance, and MHC Sliding Fee Schedule programs, and coordinates with agencies for timely determinations.

The ideal candidate has a high school diploma, 1 year of public-facing experience, and bilingual English/Spanish.

Qualifications

• High school diploma or equivalent.
• 1 year experience in a public-facing role.
• Bilingual English/Spanish required.
• Fingerprint Clearance Card or ability to obtain on hire.

Responsibilities

• Greets patients in a courteous, friendly and professional manner.
• Informs families about publicly financed health care programs and insurance.
• Performs initial eligibility screening and forwards applications to agencies.
• Coordinates with agencies to expedite eligibility determinations.
• Updates files daily to reflect application status.
• Follows state guidelines for processing applications.
• Educates staff on programs to promote outreach.
• Develops partnerships with community and local businesses.
• Compiles data and records outreach activities.
• Other outreach duties as assigned.

Skills

Bilingual English/Spanish

Public contact

Education

High school diploma or GED

Associate’s degree

Tools

Health-e-Arizona Plus

Job description

MHC Healthcare is seeking an Eligibility Enrollment Specialist to join the outreach team at the Marana Main Health Center, located in the heart of Marana, AZ.The Eligibility Enrollment Specialist will identify, educate and conduct initial screening for prospective enrollment in the Arizona Health Care Cost Containment System (AHCCCS), qualified Marketplace Insurance and the MHC Sliding Fee Schedule programs. MHC Healthcare is a Federally Qualified Community Health Center (FQHC), with 17 sites in Tucson and Pima County.Our mission is to improve our Community by providing exceptional, whole-person healthcare.

The following qualifications are required:

• High school diploma or equivalent required
• One (1) years’ experience working in a responsible position with primary emphasis on public contact required.
• Bilingual (English/Spanish); required.
• Fingerprint Clearance Card through the Arizona Department of Public Safety (or ability to obtain upon hire)

The following qualifications are preferred:

• Associate’s degree preferred.
• Experience with the Health-e-Arizona Plus system preferred.
• Strong familiarity with human service agencies servicing low income and minority populations preferred.

Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

This position has the following supervisory responsibility:

• None

The ideal candidate will also possess the following knowledge, skills, and abilities:

• Ability to obtain Certified Application Counselor (CAC) certification with the Arizona Department of Insurance within six (6) months of hire; required.
• Understands issues concerning low income and minority communities.
• Appreciation of cultural sensitivities involving people from a wide range of backgrounds.
• Ability to increase the understanding and importance of prevention and attention to medical treatment.
• Ability to communicate effectively with patients and employees of the eligibility agencies.
• Ability to perform basic calculations using whole numbers, fractions and decimals.
• Ability to work under stressful situations.
• Computer literate.

Duties and Responsibilities:

• Reports directly to Outreach Supervisor (OS) for overall program responsibilities and requirements. However, daily duties at the health center are directly supervised by Associate Director and/or Practice Manager.
• Greets patients in a courteous, friendly and professional manner.
• Informs families about the availability of publicly financed health care programs and insurance.
• Performs initial eligibility screening including compiling necessary documentation and forwarding application directly to the agencies.
• Coordinates with the agencies to expedite the eligibility determination of applicants.
• Updates files daily to reflect the status of applications.
• Follows all MHC and State guidelines for processing of application and documentation requirements.
• Confirms and reschedules applicant appointments as necessary.
• Manages missed appointments through client follow-up.
• Educates all staff members, including providers, on programs to further promote outreach efforts in the community.
• Develops partnerships with the community and local businesses; disseminates information to the targeted population.
• Compiles data, records outreach activities and the number of applications generated for each activity.
• Participates in in-service/education programs as requested.
• When not working assigned outreach duties as prescribed, assists with other health center duties such as front desk receptionist, insurance eligibility, appointment confirmation, scanning, indexing or other related duties.
• Other duties/projects as assigned

Benefits:

MHC Healthcare’s vision is to be the premier provider and employer in community health. To support our mission and vision in our community, MHC Healthcare believes health and well-being must start at home. Therefore, employees have many opportunities to care for our own health and wellness with benefits such as:

• Medical, Dental, and Vision
• 403(b) with employer contribution
• Short-term disability and other benefits
• Paid time off including 11 holidays plus vacation and sick leave accrual
• Paid bereavement, jury duty, and community service time
• Employee discount for medical services ($500 per year for full-time)
• Education reimbursement ($3,000 per year for full-time)

Marana Health is committed to providing equal employment opportunities to all individuals, including those with disabilities and pregnancy-related conditions. If you require a reasonable accommodation to apply for a position or to participate in the interview process under the Americans with Disabilities Act (ADA) or the Pregnant Workers Fairness Act (PWFA), please contact our Human Resources Department at 520-682-4111.