In-clinic Eligibility Specialist Job at All Nations Health Center
Job Announcement
TITLE: In-clinic Eligibility Specialist
DEPARTMENT: Administration
REPORTS TO: Director of Business and Finance
FLSA STATUS: Non - Exempt
STATUS: Full Time
WAGE: $20.00-$22.00/hr
DEPARTMENT: Administration
REPORTS TO: Director of Business and Finance
FLSA STATUS: Non - Exempt
STATUS: Full Time
WAGE: $20.00-$22.00/hr
To apply: Please visit www.allnations.health to complete an All Nations application. Please submit a letter of interest, a resume, and references with a completed application. These can be dropped off at the administration location (2100 Stephens Ave. Suite 105 or emailed to kdavis@allnations.health .
POSITION SUMMARY
The All Nations Health Center Eligibility Specialist works with All Nations clients and potential clients to determine access for health coverage eligibility. The Outreach Eligibility Specialist serves as a team member of the Connecting Kids to Coverage program, which is aimed at ensuring Native children, families, and pregnant people have access to healthcare coverage under Montana State Medicaid, Healthy Montana Kids (HMK), and Children’s Health Insurance Program (CHIP). The Eligibility Specialist is responsible for helping All Nation’s clients and prospective clients with health insurance applications, renewals, and other eligibility determination processes. This position works closely with other members of the Connecting Kids to Coverage program and the Finance Department.
DUTIES & RESPONSIBILITIES:
- Conduct financial fact-finding interviews with patients who are seeking healthcare benefits to determine eligibility based on income, household size, employment, etc.
- Provide Medicaid/HMK/CIP navigation assistance to current and prospective clients off-site at outreach events, WIC office, Early Head start, University of Montana, and other partner institutions.
- Maintain up-to-date knowledge and understanding of available healthcare coverage options for All Nations clients.
- Regularly participate in trainings, conferences, and cohort meetings with other Eligibility Specialists to expand knowledge base related to Montana State laws regarding health coverage.
- Complete Medicaid/HMK/CHIP and other applicable applications/releases.
- Monitor all applicants who are eligible for Medicaid or other financial assistance, or coverage plans, as required.
- Enter clear and concise notes in the required patient accounting systems.
- Ensure all supporting documents, including applications and receipts, are obtained, and filed timely.
- Successfully help coordinate and manage the portfolio of Medicaid/HMK/CHIP applicants.
- Adhere to all relevant regulations related to involvement with local, state, and federal government programs as well as All Nations and our clients’ compliance programs.
- Provide excellent internal and external customer service to All Nations clients, staff, and community.
- Interface with external revenue system/billing and coding partners to ensure that Medicaid/HMK/CHIP statements are accurate and meet timely filing deadlines.
- When clients are determined ineligible for state-sanctioned health coverage options, assist clients in navigating third-party options to ensure health coverage is attained.
- In conjunction with other interdisciplinary team members, assist in coordinating and implementing outreach events that provide the Missoula community with multiple opportunities to access help with health coverage.
- Assist in and facilitate data collection and analysis regarding outreach events, number of eligible applications submitted, number of clients assisted, etc.
- Report monthly on enrollment analytics.
- Other duties as assigned.
PREFERRED SKILLS:
- Knowledge of industry specific programs as they relate to Indian Health and Urban Indian Health.
- Expert competence using computers and the internet.
- A sense of commitment to the unique needs of the Native American population and All Nations programming.
- Attention to detail with proficient planning and organizational skills, sufficient to prioritize and successfully complete job demands.
- Ability to work independently and/or with minimal supervision, as well as, ability to clearly follow supervisor instructions.
- Ability to interact with and understand cultural differences and apply skill in working with people of varied social, ethnic and economic backgrounds.
- Ability to exercise tact and diplomacy, to gain confidence, support and cooperation of individuals and groups in accomplishing objectives.
- Flexibility and adaptability to stress and ability to work under stressful situations, when necessary; and apply conflict resolution skills for effective outcomes.
PREREQUISITE QUALIFICATIONS:
- Associate’s degree, or equivalent professional experience, in business, communication, billing and coding, community health, prevention sciences, or other relevant field.
- Working knowledge of urban, tribal, or federal healthcare setting providing insurance and eligibility services, or willingness to learn.
- Candidate must have reliable transportation, a valid Montana driver’s license, and be willing to consent to criminal background check.
REQUIRED:
- Proficient computer skills, including Microsoft Office (specifically Word and Excel), electronic medical records, email and data base software.
- Excellent leadership, organizational, written and verbal communication, and interpersonal skills.
- Demonstrate sound judgment, decision-making, critical thinking and problem-solving skills.
- Ability to maintain confidentiality and privacy consistently and constantly with all aspects of information in accordance with practice, state, and federal regulations.
- Practice, develop, and endorse strong internal and external customer service skills.
- Ability to read, understand, follow and enforce safety procedures.
- Ability to work with a high-risk, minority population and maintain emotional stability to cope with human suffering, emergencies, and other stressors.
- Ability to work effectively at all levels in a collaborative, customer service oriented, team environment.
- A high school diploma is required.
- Valid MT Driver’s License and clean driving record.
- Be willing to consent to criminal background check.
Employees may be requested to stay or report to work, when needed, to complete essential tasks to the benefit of the organization. This may require working a non-traditional work schedule or working outside normal assigned duties to complete tasks.
PHYSICAL DEMANDS
Essential job duties may require occasional lifting, pushing and pulling up to 25 pounds. The ability to occasionally stoop, kneel, crouch and utilize reaching, handling, fingering and feeling movements is required. The ability to hear normal conversational discussion and near and far visual clarity is required.
Preference in employment is given to qualified Native American candidates, in accordance with Title 42 CFR 36.221.
To apply: Please visit www.allnations.health to complete an All Nations application. Please submit a letter of interest, a resume, and references with a completed application. These can be dropped off at the administration location (2100 Stephens Ave. Suite 105 or emailed to kdavis@allnations.health .
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