Member Services Coordinator

North East Medical Services•Daly City, CA

21d

About The Position

The Member Services Enrollment & Eligibility Coordinator I performs patient registration, sliding scale assessments, eligibility screening, program enrollment, and renewals. The coordinator advocates for clients by assessing their health and social needs and referring them to appropriate programs. The position also provides enrollment assistance, education, and other enabling services to patients and members.

Requirements

Strong attention to detail, time-management, and multitasking skills.
Ability to work independently and in a group setting.
Strong written and verbal interpersonal skills.
Computer proficiency.
Fluent in reading, writing, and speaking English.
Verbal fluency in Spanish.
Maintain an active Covered CA Certified Enrollment Counselor certification as required.

Nice To Haves

Completion of a four-year degree from an accredited university is highly preferred.
Ability to speak another language or dialect is highly desirable.

Responsibilities

Identify and determine patient eligibility for the NEMS sliding fee program; register and inform clients about NEMS services; obtain demographic information; assist with applications and forms; and verify insurance eligibility.
Assist members in selecting or changing their primary care provider according to established guidelines.
Update information in EPM, including address, name, and insurance coverage changes.
Serve as a point of contact for complaints, help document them, and forward them for review.
Assist with taking meeting minutes and notes.
Identify, assist, and enroll patients in entitlement programs, and update patient information for Family PACT, Cancer Detection Program, CHDP, BCCTP, Healthy Kids, and Healthy San Francisco.
Provide one-on-one education on Health Care Reform and explain program eligibility, qualification standards, policies, and procedures to prospective clients and members.
Help patients resolve enrollment problems involving Medi-Cal, Covered CA insurance, and other health coverage programs.
Complete required training programs and certifications, and maintain an active Covered CA Certified Enrollment Counselor certification as required.
Participate in training and meetings as appropriate.
Provide other enabling services, such as letter interpretation and form filling.
Stay current on eligibility requirements and changes to public programs.
Perform other job duties as required by the supervisor.