Operations - Eligibility Enrollment Specialist

Marana Health•Tucson, AZ

About The Position

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.

Requirements

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)
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.

Nice To Haves

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.

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