Health Advocate - Enrollment Counselor

Gracelight Community Health • Los Angeles, CA

93d • $22 - $34

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 coverage that the prospect qualifies for, promotes health insurance utilization and retention and helps recruit new members to the 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 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

Nice To Haves

• Sales/Marketing and public speaking and presentation experience preferred

Responsibilities

• Support and implement the organizations vision, mission and values
• Determine priorities and method of completing daily workload to complete responsibilities in a timely manner
• Perform all job functions in a professional and courteous manner, including answering all phone calls and emails timely and providing excellent customer service
• Maintain expertise in eligibility, enrollment and program specifics for all county and state programs such as Covered CA and Medi-Cal
• 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
• Wear the Covered CA assigned badge when enrolling or disseminating information regarding Covered CA
• Foster and promote a culture of service excellence and accountability
• Assist eligible families with completing and submitting the appropriate health insurance application/s
• Process applications using Health-E-APP, One-E-APP, CALHEERS or other web-based programs
• Conduct client intakes by phone and in person to determine their immediate healthcare needs
• Provide support and education to assist families when a problem with health coverage arises
• 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 for county and state programs
• 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
• 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 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
• Maintain the most current knowledge of Health Plans, Health Insurance(s), Program Eligibility, and updates
• Complete data tracking, monthly reports and client file-related paperwork
• 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
• Comply with organizational policies and procedures
• Perform all other duties as assigned

Benefits

• Full Time position
• Local Travel Site to Site
• Day Shift
• Salary Range: $22.50 - $34.26 Hourly

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 101-250 employees