Operations - Eligibility Enrollment Specialist

Marana Health•Tucson, AZ

9d•$17 - $23•Onsite

About The Position

MHC Healthcare is seeking an Eligibility Enrollment Specialist to join its 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 the MHC Sliding Fee Schedule programs. The role includes helping applicants through documentation and application steps, coordinating with eligibility agencies, following up on applications and appointments, and supporting outreach and other health center operations. 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.

Requirements

High school diploma or equivalent.
At least one year of experience working in a responsible position with 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.
Ability to understand issues concerning low-income and minority communities.
Appreciation of cultural sensitivities involving people from a wide range of backgrounds.
Ability to increase understanding of 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.
Equivalent combinations of education and experience may be considered if applicable and directly related to the job’s functions and required knowledge.

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.

Responsibilities

Greet patients in a courteous, friendly, and professional manner.
Inform families about publicly financed health care programs and insurance options.
Conduct initial eligibility screening, compile necessary documentation, and forward applications directly to 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 requirements.
Confirm and reschedule applicant appointments as necessary.
Follow up with clients regarding missed appointments.
Educate staff members, including providers, about programs to promote community outreach efforts.
Develop partnerships with community organizations and local businesses and disseminate information to targeted populations.
Compile data and record outreach activities and the number of applications generated for each activity.
Participate in in-service and education programs as requested.
When not performing assigned outreach duties, assist with other health center duties, such as front desk reception, insurance eligibility, appointment confirmation, scanning, and indexing.
Perform other duties or projects as assigned.