Charlotte Center for Legal Advocacy - Health Benefits Resolution Specialist
About The Position
Charlotte Center for Legal Advocacy, a non-profit provider of civil legal assistance to low-income persons in the Charlotte region, seeks a Health Benefits Resolution Specialist working under with the Advocacy Center's Family Support and Health Care Program. More information about the Advocacy Center can be found at our website: www.charlottelegaladvocacy.org. The Health Benefits Resolution Specialist is responsible for assisting low-income North Carolina families by providing information on how to access and use Medicaid, educate families on their rights regarding Medicaid and other health-supporting benefits, and provide advocacy on these issues. This position helps individuals and families by providing answers to specific questions or concerns about their Medicaid and other health-supporting benefits. In addition to serving as a resource, the position advocates for people to get the care they need. The position works to connect Medicaid members to resources such as legal aid, social services, housing resources, food assistance and other programs. Lastly, the position monitors trends as to any issues that have been reported by members to help identify and resolve systemic problems.
Requirements
- Two-year or four-year college degree or equivalent training or experience
- North Carolina Medicaid Ombudsman experience required
- Proficiency in MS Office, including Word, Excel, Power Point and Adobe PDF
- Ability to work independently and in a team environment
- Ability to effectively collaborate with co-workers and clients in virtual and in-person meetings
- Be free from conflicts of interests, including payments and incentives from health insurance industry
- Possess socio-economic and cultural sensitivity and ability to communicate with persons in crisis or under stress
- Ability to multi-task and interact well with colleagues, clients, and others
- Prolonged periods of sitting at a desk and working on a computer
- Must be able to lift 15 pounds at times
- Must be able to access and navigate each department at the organization's facilities
Nice To Haves
- Experience working with low-income communities preferably at a non-profit or community-based organization within a multi-ethnic/multi-cultural environment preferred
- Experience with public benefits eligibility and/or work experience as a health insurance service representative preferred
Responsibilities
- Assist with resolving disputes for Medicaid beneficiaries with various managed care entities and social service agencies
- Advocate for beneficiaries who are facing difficulty receiving care and finding answers to resolve healthcare access-related issues
- Educate families and community members about individual rights in the Medicaid program
- Investigate issues reported by applicants and members and help them resolve issues informally
- Remain up to date on policies and processes related to NC Medicaid and other related public benefits
- Provide referrals to appropriate agencies for applicants and members with grievances, complaints, questions, or need for other social services
- Document and enter data into a case management system to assist with identifying trends and systemic issues
- Conduct outreach and public engagement to educate members, providers, and other stakeholders
- Provide all information and services in a manner that is culturally and linguistically appropriate and ensure accessibility for individuals with disabilities
Benefits
- medical, dental, and vision coverage at 100% for employees
- 22 paid days of General Leave
- at least 12 paid holidays
- 100% employer- paid professional liability
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
1-10 employees
