Job Description

Job Location: Pinnacle - Houston, TX 77053-1800, Education Level: High School,

Travel Percentage: None,

Job Shift: Day, JOB SUMMARY:

The Outreach & Eligibility Coordinator for AccessHealth will provide fair, impartial, and accurate information that assists consumers with submitting eligibility applications for healthcare programs or services based on specific qualifying criteria. The Coordinator will attend activities as well as outreach and education events to inform consumers and businesses about the availability of these programs and encourage participation. The Coordinator will provide all services for the public good and serve as a resource to all consumers, including but not limited to, existing patients of the health center as well as to consumers, particularly from communities that are under-served and under-represented in the current health insurance market.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

• Provide application assistance and facilitate enrollment in eligible health coverage programs or services.
• Maintain knowledge and expertise in eligibility, enrollment, and specifications of multiple health coverage programs and services.
• Participate in outreach events to promote the availability of health coverage programs and services, encouraging consumer enrollment and participation.
• Utilizes reports and other data to contact clients for program/service renewals.
• Link clients to appropriate resources and provide referrals to AccessHealth services or outside agencies.
• Assist with education activities to educate health center patients, consumers, businesses, community organizations and other stakeholders about affordable insurance through multiple healthcare programs.
• Ensure the protection and security of a consumers personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.
• Demonstrate and maintain the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA).
• Participate in monthly conference calls and regularly scheduled meetings. Comply with all company and program policies, procedures and regulatory requirements.
• Participate in other job related trainings, programs and use of new technologies.
• Performs all other duties as assigned by management.

Qualifications: EDUCATION/LICENSURE/CERTIFICATION QUALIFICATIONS:

REQUIRED

Must be a Certified Application Counselor, or able to become one post hire date.

SKILLS AND PREFERRED EXPERIENCE

REQUIRED

• At least two years of experience working in healthcare setting.
• At least two years of customer service experience.
• Working knowledge of the Texas Medicaid program and CHIP program preferred.
• Ability to present information and programs and basic public speaking.
• Strong oral and written communication skills.
• Must be a team player, flexible and willing to fill in where needed.
• Ability to work effectively and professionally in a fast-paced environment.

Knowledge of and ability to work and engage with those of all socioeconomic levels.

PREFERRED

Bilingual in Spanish required.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

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 occasionally required to stand; walk; sit; use hands to finger, handle and feel objects, tools and controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch and crawl; talk and hear; taste and smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment

Work environment characteristics 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 not exposed to weather conditions. The noise level in the work environment is usually moderate.

Hours

Employees will be assigned to a regular work schedule, which may include hours before 8:00 am, after 5:00 pm, and Saturdays as determined by department needs and requirements.