Member Services Specialist
About The Position
The Member Services Specialist helps ODCHC patients and members access programs that pay for services or otherwise provide benefits. The specialist understands program eligibility requirements and assists patients and members with applications, enrollment, and redetermination. Working with front-office, medical-support, and health-outreach staff, the specialist identifies people who may benefit from enrollment or other assistance and coordinates eligibility and enrollment outreach with community agencies. This is largely an office-based position. The specialist reports directly to the Member Services Supervisor and is part of the Member Services team. There are no supervisory responsibilities. Compensation is $27.75–$32.11, with all new hires beginning at the base wage.
Requirements
- High school diploma or GED.
- Ability to identify and differentiate patients’ and members’ needs, provide assistance, and encourage interest in accessing healthcare coverage and other program opportunities.
- Strong interpersonal skills and ability to establish constructive professional working relationships with a diverse workforce.
- Ability to work as a team member and independently as needed.
- Ability to handle difficult or confrontational situations calmly, consistently, and equitably.
- Ability to write routine reports and correspondence.
- Ability to represent ODCHC’s interests effectively in the community and maintain effective working relationships with co-workers and public, private, and professional groups.
- Strong computer skills, with particular aptitude in Microsoft Office Suite and/or Electronic Medical Records (EMR).
- Adherence to ODCHC policies and procedures.
Responsibilities
- Schedule and assist patients and members with program enrollment, including explaining available programs, eligibility, and related requirements.
- Coordinate with ODCHC staff, community partners, and others to identify patients and members for program enrollment.
- Refer patients and members to inter-agency departments or community health and social services as needed.
- Attend meetings and trainings and review literature to maintain current knowledge of available programs and services, regulations, and eligibility requirements.
- Coordinate publicity and outreach initiatives with agency staff to inform patients and the community about available programs.
- Propose initiatives to increase program enrollment.
- Coordinate with community agencies to increase program enrollment capacity.
- Track enrollment and program data.
- Perform other duties and responsibilities as designated by the supervisor.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
