Operations - Eligibility Enrollment Specialist

Marana Health•Tucson, AZ

8d•Onsite

About The Position

MHC Healthcare is seeking an Eligibility Enrollment Specialist to join the outreach team at the Marana Main Health Center in Marana, Arizona. MHC Healthcare is a Federally Qualified Community Health Center with 17 sites in Tucson and Pima County. Its mission is to improve the community by providing exceptional, whole-person healthcare. The specialist identifies, educates, and conducts initial screening for prospective enrollment in AHCCCS, qualified Marketplace Insurance, and MHC’s Sliding Fee Schedule programs. The position reports directly to the Outreach Supervisor for overall program responsibilities and requirements. Daily duties at the health center are directly supervised by the Associate Director and/or Practice Manager. There is no supervisory responsibility. When not performing assigned outreach duties, the specialist may assist with other health center tasks, including front desk reception, insurance eligibility, appointment confirmation, scanning, and indexing, as well as other related duties. Other duties and projects may be assigned.

Requirements

High school diploma or equivalent.
At least one year of experience in a responsible position with a primary emphasis on public contact.
Bilingual in English and Spanish.
Arizona Department of Public Safety Fingerprint Clearance Card, or ability to obtain one upon hire.
Ability to obtain Certified Application Counselor (CAC) certification with the Arizona Department of Insurance within six months of hire.
Understand issues affecting low-income and minority communities.
Appreciate cultural sensitivities involving people from a wide range of backgrounds.
Ability to increase understanding of and emphasize the importance of prevention and attention to medical treatment.
Ability to communicate effectively with patients and employees of eligibility agencies.
Ability to perform basic calculations using whole numbers, fractions, and decimals.
Ability to work under stressful situations.
Computer literacy.

Nice To Haves

Associate’s degree.
Experience with the Health-e-Arizona Plus system.
Strong familiarity with human service agencies serving low-income and minority populations.
An equivalent combination of education and experience may be considered if applicable and directly related to the job’s functions and required knowledge.

Responsibilities

Report to the Outreach Supervisor for overall program responsibilities and requirements; follow daily direction from the Associate Director and/or Practice Manager at the health center.
Greet patients in a courteous, friendly, and professional manner.
Inform families about publicly financed healthcare programs and insurance options.
Conduct initial eligibility screenings, compile required documentation, and forward applications directly to the relevant agencies.
Coordinate with agencies to expedite applicants’ eligibility determinations.
Update files daily to reflect application status.
Follow MHC and state guidelines for application processing and documentation.
Confirm and reschedule applicant appointments as needed.
Follow up with clients regarding missed appointments.
Educate staff, including providers, about programs to promote community outreach.
Develop partnerships with community organizations and local businesses, and share information with the target population.
Compile data and record outreach activities and the number of applications generated by each activity.
Participate in in-service and education programs as requested.
When not assigned outreach duties, assist with other health center work such as front desk reception, insurance eligibility, appointment confirmation, scanning, and indexing.
Perform other duties and projects as assigned.