Posting number: 15928 (2748)
Department: Family Health Center
Division: Outreach & Enrollment
Job classification: Outreach & Enrollment Medicare Specialist
Posting type: Open
Categories: Health Services, Social Services
CHARACTERISTICS OF THE WORK
Responsible for conducting outreach to individuals and families to increase understanding of Medicare program benefits and opportunities for assistance with benefit and plan selection.
Conducts public education activities to raise awareness about coverage options available under Medicare, including Medicare supplementary plans, prescription drug coverage, and Low-Income Subsidy (LIS).
EXAMPLES OF THE WORK (These statements are intended to be illustrations of the work of this class).
Conducts individual health insurance counseling sessions without conflict of interest and in compliance with Kentucky State Health Insurance Assistance Program (SHIP) regulations.
Explains to individuals and families the benefits of having consumer assistance benefits, including health care insurance.
Explains to individuals and families the process and steps of applying for Medicare benefits.
Assists individuals and families in gathering the required information for application and retention of Consumer Assistance program benefits, including health care insurance.
Engages and educates individuals and families both on site at Family Health Centers (FHC) and in the community at health fairs, homeless shelters, churches, community centers, social service organizations, and other locations where people in need of consumer assistance benefits may gather or reside.
Creates reports and maintains records related to outreach and enrollment activities.
Completes follow-up contact with patients to ensure all insurance problems are resolved and the patient is satisfied with the counseling received.
Provides individuals with referrals to health insurance, consumer assistance programs or other resources as needed.
Coordinates outreach efforts with other FHC staff, organizations, and community members.
Stays informed of changes in the application and retention process for consumer assistance programs, including health care insurance.
Identifies patients with Limited English Proficiency (LEP) and/or other communication barriers and uses appropriate interpretive services.
Performs related work as required.
High school diploma or equivalent.
Six months of experience working in social services or public health.
Must complete the required Medicaid, health insurance, and consumer assistance training and certification within six months of hire, in compliance with federal and state guidelines.
Must complete all ongoing required federal and state continuing education consumer assistance training.
An equivalent combination of training and experience may be substituted as determined applicable by Civil Service.
PHYSICAL REQUIREMENTS AND WORKING CONDITIONS
Identifies information both on paper and electronically.
Responds to FHC needs via telephone, internet, fax, computer software and in person.
Lifts and moves objects weighing up to 10 lbs.
SPECIAL REQUIREMENTS
Must provide own transportation to work at other designated locations as needed.
An Equal Opportunity Employer
Test Weights
Training & Experience: 100%
Please note that Training & Experience scores are based on the relevant (as determined by the hiring agency and Civil Service) training and experience, as listed on your application and/or resume, as submitted here. Any information that is unclear or that is not listed on your application and/or resume will not be considered in the calculation of the Training & Experience score.This also means that you should list your employment dates, including the month and year (i.e., 02/2022 to 08/2025) of employment, as well as the number of hours worked per week.
www.fhclouisville.org
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