What are the responsibilities and job description for the Member Services Enrollment Coordinator position at Paiute Indian Tribe of Utah?
Under the supervision of the Member Services Manager, the Member Services Enrollment Coordinator works with patients, and community members to provide education and assistance related to enrollment in Medicaid, Children’s Health Insurance Program (CHIP), and/or the Health Insurance Marketplace. Supports enrollment and eligibility across all health programs (i.e. primary care, dental, behavioral health, etc.). Maintains high data entry standards for PITU Member Services, including assisting with enrollment and eligibility while serving as a back-up to process authorizations for qualifying members of the PITU Member Services Programs. Adheres to strict privacy policies protecting patient/client information.
Work Schedule:
Monday - Friday
8:00 AM - 5:00 PM
1-Hour Lunch Break (Unpaid)
Job Functions:
Include, but not limited to the following:
Necessary Knowledge, Skills, & Abilities:
- Knowledge of Medicaid, CHIP, and Medicare programs.
- Exceptional flexibility and positive people skills.
- Willingness to learn new tools and technologies.
- Maintains a positive attitude.
- Comfortable working under tight deadlines.
- Ability to establish and maintain effective working relationships with all levels of the organization and community.
- Ability to manage and perform with a high degree of autonomy, organization, and adaptability.
- Must be able to demonstrate respect for and awareness of Native American customs, traditions, and socioeconomic needs.
- Must have excellent oral and written communication skills, including public speaking with large and small groups of different managerial, socioeconomic, cultural, ethnic, and educational backgrounds.
- Must be willing to travel weekly.
- Must have knowledge of health insurance terms and enrollment processes.
General Requirements:
- Must be insurable through the Tribe’s vehicle insurance required.
- Must pass a criminal and fingerprint background check according to P.L. 101-630 standards required.
- Must pass a pre-employment alcohol/drug screening required.
Education & Experience:
- High School diploma, equivalent GED or higher required.
- One (1) year experience in working in a health-related field required.
- Preferred one (1) year experience with insurance enrollment including Medicaid, CHIP, Marketplace.
License & Certification:
- Must possess, maintain, and provide proof of a valid Driver License required.
- Must obtain, maintain, and provide proof of a valid Certified Application Counselor Training certification within one (1) month of hire date required.
- Group Health Care Plan (Health, Dental, Vision, Life/AD&D and Long-Term Disability). Employer paid premiums for Employee, Spouse and Dependents
- Supplemental/Voluntary Benefits (Life/AD&D and Short-Term Disability, Hospital Indemnity, Accident, Critical Illness)
- HSA Bank Account - Monthly employer contributions
- Retirement Plan (401k, Roth) - Dollar for dollar match up to 6%
- Paid Time Off (PTO)
- Paid Holidays (Federal, State and Tribal) - Paid according to set work schedule only
- Paid Birthday Leave
- Paid Bereavement Leave
- Employee Assistance Program
- Education Assistance Program
- Wellness Program - Earn up to $1,000 into your HSA account per year