Health Advocate - Enrollment Counselor

Gracelight Community Health•Los Angeles, CA

67d•$23 - $34•Onsite

About The Position

The purpose of the Health Advocate is to work within the communities we serve, to identify community leadership and community members who are eligible for County Health programs, State programs such as Medi-Cal and Covered CA (Affordable Care Act), provide all program insurance information, assist in filling out applications for the members of the community and assist prospects in enrolling for these health insurance programs. The Health Advocate will also help empower individuals to overcome enrollment problems for all county and state programs such as Medi-Cal and Covered CA, and health access barriers. The Health Advocate will conduct outreach and in-reach efforts to current and potential members of Gracelight Community Health. The Health Advocate functions as a community organizer, health insurance "broker", by identifying appropriate health overage that the prospect qualifies for, promotes health insurance utilization and retention and helps recruit new members to Gracelight Community Health.

Requirements

High School diploma or equivalency certificate required.
Ability to learn about and understand state and county programs such as Medi-Cal, Covered CA (Affordable Care act) and other health insurance programs required.
A valid CEC certification, requiring annual renewal (Gracelight will sponsor upon hiring)
Successfully pass the Live Scan background check for a CEC.
Ability to read and interpret documents, such as policies and procedures, benefits information, benefit surveys, board minutes, routine mail, simple contracts, and procedure manuals.
Ability to compose routine reports and correspondence.
Ability to speak effectively with employees, visitors and management.
Ability to calculate figures and basic math.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
Ability to apply common sense to daily situations that arise.
Ability to make decisions and execute to produce a positive outcome.
Exercise good judgment.
Ability to identify and access appropriate community resources and work with of community leaders.
Familiarity with multicultural settings and sensitivity to multicultural issues.
Self-starter, able to take initiative and provide input for decision-making.
Computer literate.

Nice To Haves

Sales/Marketing and public speaking and presentation experience preferred.

Responsibilities

Support and implement the organizations vision, mission and values
Determines priorities and method of completing daily workload to complete responsibilities in a timely manner.
Performs all job functions in a professional and courteous manner. This includes answering all phone calls and emails timely and providing excellent customer service to internal and external customers.
Maintain expertise in eligibility, enrollment and program specifics for all county and state programs such as, Covered CA and Medi-Cal and all programs accessible to our community.
Provide information in a fair, accurate and impartial manner.
Develop and maintain updated information to help understand the composition of the communities in the service area, including the primary languages spoken.
For Covered CA, the Certified Enrollment Counselor (CEC) must wear the Covered CA assigned badge when enrolling or disseminating information regarding Covered CA.
Fosters and promotes a culture of service excellence and accountability.
Assist eligible families with completing and submitting the appropriate health insurance application/s, including assistance with gathering necessary documents and resolving problems.
Process applications using Health-E-APP, One-E-APP, CALHEERS or other web-based programs.
Conduct client to perform intakes by phone and in person to determine their immediate healthcare needs and connected them to the proper resources.
Provide support and education to assist families when a problem with health coverage arises. May act as family liaison with various health coverage programs.
Provide education and information to families about utilization of health coverage, plan benefits, and maintaining coverage.
Promote awareness and access to healthcare through no-cost/low-cost health coverage programs
Review applications for completeness and accuracy to include paper and/or electronic applications for county and state programs such as Medi-Cal or Covered CA.
Maintain CEC certification to access the CALHEERS and Covered CA web sites for enrollment purposes
Assist with health education and outreach opportunities in the community such as health fairs, presentations, and special events as needed.
Demonstrate ability and flexibility to work in other areas and/or locations of the organization as needed.
Track all applications and help families with appeals when appropriate
Contact families at the time their annual renewal is due to offer re-enrollment assistance.
Contact potential leads identified at Outreach Events (Health Fairs, Resource Fairs, etc.) to schedule enrollment appointments
Conduct in-reach by contacting families associated with Gracelight Community Health as needed.
Refer families to appropriate community programs according to each family's needs.
Attend monthly training meetings, and other periodic trainings to retain the most current understanding of enrollment programs.
Maintain the most current and up-to-date knowledge of Health Plans, Health Insurance(s), Program Eligibility, Medi-Cal updates, Medi-Care updates, Federal/State/County programs updates and all other health programs available to current and prospective patients of Gracelight.
Complete data tracking, monthly reports and client file-related paperwork on a routine basis.
Perform outbound calls to members aging into Medi-Care
Perform outbound calls to members due for redetermination of health coverage.
Assist patients with MyChart registration.
Complies with organizational policies and procedures.
Perform all other duties as assigned.