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Eligibility & Enrollment Specialist (Call Center)-Hybrid
Company | Central Health |
Address | , Austin, 78759, Tx |
Employment type | FULL_TIME |
Salary | |
Expires | 2023-06-24 |
Posted at | 1 year ago |
Overview:
This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs.
Responsibilities:
Qualifications:
PREFERRED EDUCATION: Bachelor’s Degree
MINIMUM EXPERIENCE:
PREFERRED EXPERIENCE:
Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate local or state funded healthcare coverage, and assists customers in resolving complex problems and complaints. Performs out stationed eligibility duties including submitting, tracking and troubleshooting State program applications.
This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs.
Responsibilities:
Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):
- Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the appropriate local and grant programs and assist clients with submitting applications for state and federal health coverage programs.
- Accurately enter client data, and collect, verify and scan appropriate documents into the eligibility database according to Eligibility Policies and Procedures.
- Inform and educate clients on program benefits, in person, over the phone, or through email.
- Ability to work some weekend work, covering the Eligibility Call Center
- Pay attention to details
- Track enrollment and troubleshoot State program applications as assigned
- Interview applicants in a professional and courteous manner to obtain appropriate demographic and household information needed in order to screen clients for appropriate healthcare coverage programs
Knowledge/Skills/Abilities:
- Communicating effectively in speaking and writing as indicated by the needs of the audience
- Actively looking for ways to help people and establishing and maintaining effective working relationships
- Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards
- Efficiently shift back and forth between two or more activities or sources of information
- Work effectively with individuals from diverse backgrounds
- Interviewing techniques and proper interviewing etiquette
- Adding, subtracting, multiplying or dividing quickly and correctly and to understand and organize a problem and then to select a mathematical method or formula to solve the problem
- Knowing how to find information and identifying essential information
- Use deductive reasoning to apply general rules to specific problems to come up with logical answers and decide if an answer makes sense
- Being aware of others' reactions and understanding why they react the way they do
- Conflict resolution techniques
- Performing basic operations in Microsoft Office Suite
- Communicate information and ideas in speaking and writing so others will understand
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- Administrative and clerical procedures and systems such as word processing and data base systems, and other office procedures and terminology
- Correctly follow a given rule or set of rules in order to arrange things or actions in a certain order including procedures, orders or logical operations
- Coordinating activities by adjusting actions in relation to others' actions
- Listening to what other people are saying and asking questions as appropriate
Qualifications:
MINIMUM EDUCATION: High School Diploma or equivalent
PREFERRED EDUCATION: Bachelor’s Degree
MINIMUM EXPERIENCE:
- Three (3) years of related experience.
PREFERRED EXPERIENCE:
- Experience assisting clients with applying for state or federal programs
- Speak, read, and write Spanish fluently
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