Eligibility Specialist - Bilingual Spanish

Multnomah County (OR) • Gresham, OR

382d • $26 - $31 • Hybrid

About The Position

The Multnomah County Health Department is seeking a dedicated and compassionate individual to join our team to be the vital link between our clients and the essential health services they need. We work with communities to advance health equity, protect the most vulnerable, and promote health and wellness for everyone. The Eligibility Specialist will explain eligibility requirements and program services to individuals regarding the Oregon Health Plan (OHP), Medicare, and Medicaid. They will assist Health and Human Services clients in identifying their health service needs and accessing appropriate programs offered by Multnomah County and community providers.

Requirements

• Equivalent to an associates degree.
• Minimum of 1 - 2 years of professional work experience conducting in-person client interviews with the intent to obtain sensitive, confidential (personal, family, and financial) data.
• Experience working with targeted groups and with ethnically and culturally diverse populations is desirable.
• Ability to speak, read and write fluently in Spanish and English.

Nice To Haves

• Experience in outreach activities.
• Knowledge of health insurance programs and eligibility requirements.

Responsibilities

• Interviewing clients in person or by phone to ascertain needs for Oregon Health Plan, Reproductive Health, ScreenWise, the sliding fee discount or any other applicable programs.
• Communicate information concerning agency programs to individuals during eligibility screenings.
• Interpret and explain Oregon Health Plan, Medicare, Reproductive Health, ScreenWise and other programs eligibility requirements and how the program works.
• Advocate for at risk/vulnerable clients using knowledge of policies, procedures and resources when clients have been denied access to programs and benefits.
• Participate in outreach activities in the community to enroll clients into the Oregon Health Plan.
• Assist clients in helping to get Multnomah County medical bills resolved by confirming we have accurate financial information in Epic and that the client has received the appropriate discount.
• Complete required documents for benefit generating actions by entering accurate data, messages, and update insurance information in Epic.
• Determine eligibility for county-administered programs and set pay levels for clients.
• Respond to inquiries and requests from clients, medical providers, clinic staff and others regarding program eligibility, insurance coverage, billing related issues and referral requests.
• Maintain assister status with the state of Oregon by taking mandatory annual training for both the Oregon Health Plan and Oregon Health Insurance Marketplace and pass all certification exams.

Benefits

• Employer-funded retirement savings.
• Health and dental insurance at very low cost to full-time employees and their dependents.
• Paid parental leave.
• Wellness programs.
• Focus on work-life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees