Enrollment and Eligibility Specialist

POSITION S U M M A R Y:

Provide outreach to community members and in reach to ECDHD/GNCHC patients/clients on the health insurance Marketplace Exchanges and the Nebraska Medicaid Program. Assist uninsured patients/clients by determining eligibility to apply for the Marketplace Exchanges and Nebraska Medicaid Program and assisting with the application for those programs.

ESSENTIAL JOB FUNCTIONS:

1. Educate and inform individuals about the availability of the Marketplace Exchanges and the Nebraska Medicaid Program.

2. Assist and assess uninsured individuals for eligibility in the Marketplace Exchanges and the Nebraska Medicaid Program and assist them in completing the appropriate application.

3. Provide information to patients/clients about existing health insurance brokers and other health insurance resources as needed.

4. Follow up with potential enrollees and applicants to ensure program enrollment.

5. Provide monthly data regarding application and enrollment statistics.

6. Initiate contact with uninsured individuals through outreach activities to community agencies, community gatherings, neighborhoods and other appropriate venues.

7. Participate in required state and federal trainings related to the Marketplace Exchanges and Nebraska Medicaid Program.

8. Maintain confidentiality of client information and provide a supportive and understanding environment for all patient/client interactions.

9. Perform other duties as assigned.

MINIMUM EDUCATION:

GED required or High School Diploma.

Bachelor Degree in Healthcare Administration, Business or related field or equivalent work experience preferred.

CERTIFICATIONS:

Ability to receive Certified Application Counselor certification.

REQUIRED SKILLS:

· Previous experience working with Nebraska Medicaid.

· Proficient with Microsoft Office Suite or related software.

· Ability to work well with individuals of diverse socioeconomic, cultural and intellectual backgrounds.

· Effective oral and written communication skills.

· Able to exhibit a high level of confidentiality.

· Excellent organizational skills.

· Proactive and independent with the ability to take initiative.

PREFERRED SKILLS:

· Previous knowledge enrolling individuals into the Nebraska Medicaid Program.

· At least two-years’ experience within community service, health care or social service organization desired.

· Bi-lingual preferred.

PHYSICAL REQUIREMENTS:

Physical condition appropriate to the performance of assigned duties and responsibilities which may include sitting or standing for long periods of time. Some bending, I lifting, stooping and stretching required. Requires normal range of hearing and eyesight. Requires eye-hand coordination and manual dexterity to operate office equipment such as computer keyboard, photocopier, telephone and calculator. Some lifting involved, up to 35 pounds.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Our organization is required to follow the CMS guidelines that mandate all staff receive the COVID-19 vaccine. This is a condition of employment. Are you currently vaccinated or willing to receive the vaccination?

Education:

• High school or equivalent (Required)

Experience:

• Customer Service: 1 year (Preferred)

Work Location: One location