OUTREACH AND ENROLLMENT WORKER

Job Summary:

The Outreach and Enrollment Assistance Worker will provide eligibility and enrollment assistance for the Medicaid, CHIP, and Federal Marketplace health insurance programs to uninsured patients of the health center and community residents. The Outreach and Enrollment Assistance Worker will conduct in-reach, outreach and education activities to existing health center patients and non-health center patients about affordable insurance options and help them enroll.

Essential Functions:

Provides application and renewal assistance and facilitates enrollment in a health insurance program by providing fair, impartial, and accurate information. Maintains knowledge and expertise in eligibility, enrollment, and program specifications of the Medicaid and CHIP programs and have some basic knowledge of the Qualified Health Plans (QHP). Conducts monthly in-reach, outreach and education activities to existing health center patients and community residents to promote awareness about coverage options under Medicaid, CHIP, and the Marketplace. Assists with the development of marketing and promotional materials for outreach, application assistance and education activities. Provides culturally and linguistically appropriate services and ensure physical and other accessibility for people with disabilities. Provides information and assistance in the applicants preferred language and or provide limited-English proficiency applicants with oral and written notices of their rights to receive language assistance services and how to obtain such services. Provides referrals for people with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies. Ensures the protection and security of personal, confidential and identifiable information in a professional and responsible manner and carries out all measures to prevent from unauthorized disclosures. Demonstrates and maintains the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA). Coordinates with the Patient Account Specialist as needed Participates in monthly conference calls and/or supplemental in-person trainings and workshops sponsored by TACHC, CMS, and Community Partner Program and provides updates to discuss issues, best practices, and modifications or challenges with the online application systems for Medicaid, CHIP, and/or the Federal Marketplace. Communicates and demonstrates the mission, ethics and goals of the facility. Performs other related duties as assigned

Knowledge, Skills and Abilities:

Strong oral and written communication skills. Able to work effectively and professionally in a fast-paced environment. Knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations. Must have intermediate computer skills Spanish and English bilingual preferred Optimistic warmth Intelligence Work ethic Empathy Self-awareness Integrity Able to lift, push, and pull up to 25 pounds. Able to work in a team environment

Minimum Qualifications:

Two years' experience in Public Health, Outreach, Social Work or related field. Bachelor's Degree in Social Work, Public Health, Public Administration, or similar field from an accredited college or university preferred. Working knowledge of the Texas Medicaid Program, CHIP, and the public assistance benefit application is preferred. Must be willing and able to work a flexible schedule, including nights and weekends