Summary

The Outreach and Enrollment Specialist is responsible for arranging, coordinating, promoting, and performing various community outreach events and activities. Responsible for assisting in the completion of eligibility and enrollment applications. Continually acquire and maintain knowledge of health insurance and the health care marketplace.

Essential Job Duties

• Assist patients with the application(s) and prepare the necessary documentation for eligibility determination for Federal and State Programs. Obtains necessary signatures, forms, documentation, etc.
• Assist clients with the completion of all types of Medicaid applications in which the client is attempting to complete. Client assistance will be in the form of paper applications, patient education, advocacy, and utilization of the State of Wisconsin Access system at HTTP://access.wi.gov and other relevant sources.
• Complete a total of 40 Badger Care applications per month (this goal will be prorated based on all components being 100% operational). Badger Care applications include Badger Care Core, Badger Care Standard, pregnant women, Well Women, etc.
• Tracks patients follow through with the application process via eligibility lists and contacting patients directly. Provides troubleshooting assistance to families for successful enrollment into the health insurance programs.
• Available both evening and weekend hours to attend presentations seminars, training, and accept Medicaid applications in conjunction with other partners. Notice will be given as soon as reasonably possible.
• Conducts and attends outreach activities to promote and market services (i.e. health fairs and community events).
• Available as a referral source for internal staff referring clients attempting to apply for all Medicaid benefits.
• Achieve monthly approvals of 95% or higher for all Medicaid applications.
• Strive to achieve 100% accuracy with the information provided to clients applying for benefits which will eliminate process inefficiencies.
• Document weekly, monthly, quarterly, and annual statistics both summary, and detail for submission to the Chief Operating Officer.
• Submit requests for approval to attend meetings and/or seminars pertinent to job functions as far as in advance as possible.
• Attends meetings as required; conducts training sessions with staff.
• Reviews and compiles reports as needed. Documents outreach, enrollment, and expenses for tracking purposes.
• Maintain established office policies and procedures. Ensuring compliance with OSHA and HIPPA guidelines.
• Customer Service - treat customers, patients, co-workers, and other with dignity, respect and trust. Work effectively by sharing ideas constructively and positively.
• Promote the mission, vision, and values of the organization in all interactions.
• Report to work as scheduled
• Other duties as assigned

Education and Experience

• Bachelor's degree in social work, sociology, human services, or related field. Master's degree a plus.
• Certified or the ability to receive certification as a Certified Application Counselor within the first six months of employment. Maintain annual certification requirements and skills. Demonstrated knowledge and experience regarding healthcare benefits/insurance and community resources.
• 5-7 years of demonstrated ability as a client advocate. Ability to self-manage and operate effectively within team settings. Strong analytic skills. Strong written, verbal, and interpersonal communication skills. Proficient with Microsoft Office applications. Comfortable in an environment with changing priorities and time constraints.
• Ability to comprehend and use basic language, both written and spoken to communicate information and ideas.
• Off-hours and weekend work required.

Job Type: Full-time

Pay: $19.42 - $27.18 per hour

Expected hours: No less than 40 per week

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Loan forgiveness
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Night shift
• Weekends as needed

People with a criminal record are encouraged to apply

Education:

• Bachelor's (Preferred)

Experience:

• community support: 1 year (Required)
• Insurance Marketplace: 1 year (Required)

Work Location: In person