What are the responsibilities and job description for the Enrollment Specialist - CKF position at Open Door Health Services?
Open Door Health Services is hiring a Enrollment Specialist who can uphold our Mission, Vision, and Values. In this position you will assist in coordination of all activities and enrollments for Hoosier Healthwise, Healthy Indiana Plan, Traditional Medicaid, SNAP, TANF, and federal marketplace applications. Maintain that all clients receive information about possible assistance programs that can optimize billing for the health center. Assist in planning and organizing patient and community outreach activities and coordinate implementation of such activities.
This is a full time, 40 hours per week position. There is occasionally out reach events in the evenings and weekends that are required. For State Navigator license you must have a valid Indiana Driver's license.
Responsibilities (How this position enhances our Mission, Vision, and Values)
Responsibilities (How this position enhances our Mission, Vision, and Values)
- Conduct public education activities to raise awareness about coverage options available under Medicaid, CHIP and the Marketplace.
- Serve as a navigator for federal marketplace exchange products.
- Assist in enrolment for Hoosier Healthwise, Healthy Indiana Plan, Traditional Medicaid, SNAP, TANF
- Assist and enroll qualified recipients into appropriate assistance programs, as well as maintain documentation and case management of all applications.
Vision – ODHS is preferred partner in East Central Indiana for improving the well-being of individuals and the communities in which they live:
- Demonstrate and maintain expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable populations; and privacy and security standards.
- Complete all required and applicable federal and/or state consumer assistance trainings, as is required for all assistance personnel carrying out consumer assistance functions.
- Conduct “in-reach” with currently uninsured health center patients and “outreach” to non-health center patients in the approved service area.
- Assist any patient or resident seeking outreach and enrollment assistance and if unable to assist due to language or other barriers, provide timely referral to other resources, such as the toll-free Marketplace Call Center, or to other state or local entities.
- Collaborate with other health centers and providers in the service area to ensure that outreach and enrollment assistance activities are coordinated with other local, regional, and /or state-wide outreach and enrollment assistance efforts and training requirements.
- Participate in professional development activities and maintains professional affiliations.
- Complete federal/state navigator training and become certified, annually.
- Maintain and establish contacts in Blackford, Grant, Jay and Randolph counties collaborating to seek and build new partnerships, as required.
- Collaborate with the Director of Community Resources on the Annual CKF Workplan, as needed.
Values – Esteem the Team, Maximize Potential, Do the Right Thing, Choose Compassion, Encourage Uniqueness:
- Complete staff training approved by the Indiana Department of Insurance and the Federal Marketplace in order to complete the Hoosier Healthwise, Healthy Indiana Plan, TANF, SNAP, Traditional Medicaid and Federal Marketplace application.
- Assist with planning and organizing of health center/community outreach events and implementation of such events.
- Maintain departmental policies and procedures and ensure quality of care with respect and sensitivity to the needs of the clients we serve.
- Complete required reports in a timely fashion.
- Maintain patient confidentiality.
- Comply with all agency policies and procedures concerning corporate compliance including privacy of protected health information.
- Knowledge of community resources and referral agencies.
- Possess understanding of individual’s socioeconomic status and lifestyle with respect for individual differences.
- Maintain and enter information on the CKF Enrollment/Assist logs as required.
- Maintain an inventory tracking system for supply ordering as needed.
- Other duties as assigned.
About you:
- Skill in establishing and maintaining effective working relationships with clients, staff and the public at large.
- Skill in interviewing and communication to elicit information and cooperation from clients.
- Knowledge of group dynamics.
- Ability to work with computer software programs, such as Word, Excel, etc.
- Ability to interpret and communicate agency rules, regulations, and procedures.
- Ability to write reports and collect data.
- Ability to multi-task and prioritize assigned duties.
- Ability to work independently on assigned job responsibilities.
- Excellent interpersonal communication skills.
- Requires standing, walking or sitting for long periods of time. Occasional bending, stretching or lifting up to 40 pounds.
- Requires the ability to work under stressful situations.
- Requires corrected vision and hearing to normal range or use of approved adaptive equipment
Education: High School diploma or GED equivalency preferred. Some college preferred. Must obtain navigator certification within 60 days of employment. (Training for certifications will be provided).
Experience: Would prefer experience working with non for profit or insurance organizations in our community.
Special Requirements: Must have a valid Indiana Driver’s License. This position does require driving in the community and other serviced areas. You must be able to work evenings and weekends
