Member Services Specialist

Open Door Community Health Centers • Eureka, CA

5d

About The Position

The Member Services Specialist knows eligibility requirements for programs available to pay for services or otherwise benefit ODCHC patients. The specialist assists patients and members with applications, enrollment, and redeterminations for available programs. Working with front-office, medical-support, and health-outreach staff, the specialist identifies patients who may benefit from enrollment or other assistance and coordinates with community agencies on eligibility and enrollment outreach. This is largely an office-based position and includes local and long-distance travel as needed.

Requirements

• High school diploma or GED.
• Ability to identify and differentiate the needs of patients and members and assist them in accessing healthcare coverage and other program opportunities.
• Strong interpersonal skills and the ability to establish constructive professional working relationships in a diverse workforce.
• Ability to work as part of a team 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 in the community and maintain effective working relationships with coworkers and public, private, and professional groups.
• Strong computer skills, with specific aptitude in Microsoft Office Suite and/or Electronic Medical Records (EMR).
• Adherence to ODCHC's policies and procedures.

Responsibilities

• Schedule and assist patients and members with program enrollment, including educating them about 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 other inter-agency departments or community health and social services as needed.
• Attend meetings and trainings and review literature to maintain current knowledge of programs, services, regulations, and eligibility requirements.
• Coordinate with agency staff on publicity and outreach initiatives about programs available to patients and the community.
• Propose initiatives to increase program enrollment.
• Coordinate with community agencies, as appropriate, to increase enrollment program capacity.
• Track enrollment and program data.
• Perform other duties and responsibilities as designated by the supervisor.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED