Health Coverage Counselor
Company: Community Medical Centers, Inc.
Location: Stockton
Posted on: September 16, 2023
Job Description:
Job Details
Level
Experienced
Job Location
CMC - West Lane - Stockton, CA
Salary Range
$18.50 - $21.32 Hourly
Description
POSITION SUMMARY:
The Health Coverage Counselor will perform outreach and enrollment
assistance activities that facilitate enrollment of eligible health
center patients and service area residents into affordable health
insurance coverage through the Health Insurance Marketplaces,
Medicaid, and Children's Health Insurance Program/Healthy
Families.
MINIMUM REQUIREMENTS:
- High School Diploma or GED
- One (1) year experience working in a health care program
providing health insurance coverage information or two (2) years
working in a healthcare setting
- Experience providing health insurance coverage information is
preferred
- Knowledge of geographical area and ethnic communities
- Ability to type 35 words per minute
- Ability to comply and successfully complete all required and
applicable federal and state consumer assistance training
- Valid California driver's license, proof of auto insurance, and
personal transportation Qualifications
SPECIFIC DUTIES:
- Consults with and advises the Director of Health Education
regularly regarding outreach and insurance enrollment
activities.
- Responsible for scheduling and conducting educational
presentations to groups or individuals in the community on health
insurance options and utilization of benefits.
- Assist in all parts of the insurance enrollment process such as
educating consumers about affordable coverage options, setting up a
profile in the Covered CA Portal, filing affordability assistance
information, receiving an eligibility determination, and/or
enrolling in affordable health insurance.
- 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.
- Conduct public education activities to raise awareness about
coverage options under Medi-Cal, CHIP and the Covered CA
Marketplace.
- Assist individuals with understanding and accessing affordable
options, provide information and assistance in a fair, accurate and
impartial manner, provide information and assistance in a manner
that is culturally and linguistically appropriate to diverse
communities and accessible to individuals with disabilities.
- Provide referral to any applicable office of health insurance
consumer assistance or ombudsman established under Section 2793 of
the PHS.
- Act to address consumer grievances, complaints, or questions
about their health plan, coverage, or a determination.
- Responsible for collecting and tracking outreach and enrollment
information to prepare outreach and enrollment reports.
- As needed translate written material related to the outreach
and enrollment.
- Serves as departmental representative at various meetings when
assigned
- Assists with various health insurance activities as assigned
and works as a team member to ensure success of enrollment and
outreach events.
- Attends and participates in staff meetings and training as
required by Supervisor.
- Responsible for distribution of materials, forms, and
reports
- Performs other tasks as assigned KNOWLEDGE, SKILLS, AND
ABILITIES:
- Knowledge of health insurance programs
- Knowledge of community resources and referral agencies
- Knowledge of computer systems and applications
- Knowledge of grammar, spelling and punctuation to compile and
type reports
- Knowledge of instructional skills and educational techniques to
guide consumers
- Skill in establishing and maintaining effective working
relationships with consumers, staff, and various agencies
- Skill in public speaking
- Ability to identify problems, provide information, and
recommend solutions
- Ability to prepare routine reports using terminology common to
outreach employees
- Ability to Interpret, adapt, and apply appropriate written
guidelines and work practices
- Listens skillfully and displays a willingness and ability to
acknowledge the needs, expectations, and values of others by using
reflective listening and empathy conveyance. Responds to needs in
ways that are helpful and beyond expectation.
- Communicate effectively by using welcoming words, proper tone
of voice, appropriate body language, eye contact and smiling with
every interaction.
- Ability to provide excellent customer service that is
reflective of a culture that values trust and respect.
TYPICAL PHYSICAL DEMANDS:
May require sitting for long periods of time. Occasional bending,
stretching or lifting. Requires frequent walking and standing for
prolonged periods of time. Lifts and carries items weighing in
excess of 50 pounds. Vision must be correctable to 20/40 and
hearing must be in the normal range for telephone contacts.
Requires the ability to work under demanding conditions. Requires
ability to drive to outreach areas for presentations and other
activities. May require working week nights and weekends.
TYPICAL WORKING CONDITIONS:
Work is performed in an office environment within a clinic setting.
Involves frequent contact with staff and the public. Work may be
stressful at times. Contact may involve dealing with upset
people.
Community Medical Centers is an Equal Opportunity Employer. It is
CMC's policy to provide equal employment opportunities to all
persons, regardless of age, race, religion, color, national origin,
sex, political affiliations, marital status, non-disqualifying
physical or mental disability, sexual orientation, membership, or
non-membership in an employee organization or on the basis of
personal favoritism or other non-merit factors except where
otherwise provided by law.
Keywords: Community Medical Centers, Inc., Stockton , Health Coverage Counselor, Healthcare , Stockton, California
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