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LM
Louisville Metro Government
Outreach and Enrollment Assistance Worker (FHC)
Career Insights for Eligibility Specialist
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Scorecard
Based on Kentucky data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$47,376 / year median in Kentucky
+15% projected growth
Job Description
CHARACTERISTICS OF THE WORK
Responsible for conducting outreach to individuals and families to assist them in applying for and retaining consumer assistance benefits, including Medicaid insurance or purchase of health benefit plans through the federal or state health benefit exchange. Conducts public education activities to raise awareness about Consumer Assistance programs, including coverage options available under Medicaid, Kentucky Children's Health Insurance Program (KCHIP), and the federal or state health benefit exchange.EXAMPLES OF THE WORK
(These statements are intended to be illustrations of the work of this class). Meets with individuals and families to determine their eligibility for Medicaid insurance benefits or premium discounts and cost sharing for health plans purchased through the federal or state health benefit exchange. Explains to individuals and families the benefits of having consumer assistance benefits, including health care insurance. Explains to individuals and families the process and steps of applying for health care insurance. Assists individuals and families in gathering the required information for application and retention of Consumer Assistance program benefits, including health care insurance. Engages and educates individuals and families both on site at Family Health Centers (FHC) and in the community at health fairs, homeless shelters, churches, community centers, social service organizations, and other locations where people in need of consumer assistance benefits may gather or reside. Creates reports and maintains records related to outreach and enrollment activities. Engages in follow-up as needed to ensure assistance is given to individuals and families to complete consumer assistance or health care insurance benefit enrollment. Provides individuals with referrals to health insurance, consumer assistance programs or other resources as needed. Coordinates outreach efforts with other FHC staff, organizations, and community members. Stays informed of changes in the application and retention process for consumer assistance programs, including health care insurance. Identifies patients with Limited English Proficiency (LEP) and/or other communication barriers and uses appropriate interpretive services. Performs related work as required.MINIMUM REQUIREMENTS
High school diploma or equivalent. Six months of working experience assisting individuals in the completion of applications by paper and/or electronically. Must complete the required Medicaid, health insurance, and consumer assistance training and certification within six months of hire, in compliance with federal and state guidelines. Must complete all ongoing required federal and state continuing education consumer assistance training. An equivalent combination of training and experience may be substituted as determined applicable by Civil Service.PHYSICAL REQUIREMENTS AND WORKING CONDITIONS
Identifies information both on paper and electronically. Responds to FHC needs via telephone, internet, fax, computer software and in person. Lifts and moves objects weighing up to 10 lbs.SPECIAL REQUIREMENTS
Must provide own transportation to work at other designated locations as needed.An Equal Opportunity Employer Test Weights Training & Experience:
100% Please note that Training & Experience scores are based on the relevant (as determined by the hiring agency and Civil Service) training and experience, as listed on your application and/or resume, as submitted here. Any information that is unclear or that is not listed on your application and/or resume will not be considered in the calculation of the Training & Experience score. This also means that you should list your employment dates, including the month and year (i.e., 02/2010 to 08/2015) of employment, as well as the number of hours worked per week.CLINIC LOCATIONS AND HOURS
www.fhclouisville.org FHC- Portland 2215 Portland Avenue Louisville
KY 40212
(502) 774-8631 MondayThursday:
8:00am- 9:00pm
Friday:
8:00am- 4:30pm
Saturday:
8:00am- noon
Sunday:
Closed FHC- East Broadway 834 East Broadway Louisville
KY 40204
MondayThursday:
8:00am- 9:00pm
Friday:
8:00am- 4:30pm
Saturday:
8:00- 12:00pm
Sunday:
Closed FHC- Phoenix (Healthcare for the Homeless) 712 E Muhammad Ali Blvd Louisville
KY 40202
MondayFriday:
7:30am- 4:00pm Saturday
Sunday:
Closed FHC- Iroquois 4100 Taylor Blvd Louisville
KY 40215
Monday:
8:00am- 4:30pm
Tuesday:
8:00am- 8:30pm Wednesday
Friday:
8:00am- 4:30pm Saturday
Sunday:
Closed FHC- Fairdale 1000 Neighborhood Place Fairdale
KY 40118
MondayFriday:
8:00am- 4:30pm
Thursdays:
8:00am- 8:30pm Saturday
Sunday:
Closed FHC- Southwest 9702 Stonestreet Road, Suite 220 Louisville
KY 40272
MondayWednesday:
8:00am- 4:30pm
Thursday:
8:00am- 8:00pm
Friday:
8:00am- 4:30pm Saturday
Sunday:
Closed FHC- Americana 4805 Southside Drive Louisville
KY 40214
MondayFriday:
8:00am- 4:30pm Saturday