Under basic supervision, conducts in-depth personal interviews with clients to obtain applicable information related to Medicaid, Affordable Care Act and Health Care Assistance program eligibility; evaluates needs based on appropriate factors to determine eligibility for the Sandoval County Community Health Program (CHP); explains programs, makes referrals to community resources, updates proprietary database, and processes enrollment applications.Education and Experience:

• High School Diploma or GED equivalent from an accredited institution.
• Two years of eligibility determination in a public entitlement program and specialized computer system experience. 

Required Licenses or Certifications:

• Valid New Mexico driver’s license or ability to obtain a valid New Mexico driver’s license within 30 days of hire.
• Presumptive Eligibility/Medicaid On-Site Application (PE/MOSSA) determiner certification is required within six months of hire.
• Affordable Care Act Insurance Enrollment Counselor Certification is required within six months of hire.
• Notary Public Certificate is required within six months of hire.

Additional Requirements:

• Ability to maintain a valid New Mexico driver’s license
• Must pass a background check applicable to position.

• Assists Community Health Program (CHP) clients with information and services for a variety of public health programs and support services; performs duties within scope of authority and training and in compliance with required internal and external policies and procedures and state regulations; job duties may vary according to assignment.
• Conducts in-depth personal interviews with clients to obtain applicable information related to Medicaid, Medicare Assistance Programs, Supplemental Nutrition Assistant Program (SNAP), Temporary Aid to Needy Families (TANF), Low Income Home Energy Assistant Program (LIHEAP), and Health Assistance Program (HCAP) eligibility; assists consumers with Affordable Care Act; analyzes needs based on appropriate factors such as household income, resources, and assets to determine CHP eligibility.
• Researches and verifies client information; determines client eligibility and appropriate level of assistance.
• Identifies client needs, explains CHP programs and makes appropriate referrals to community resources.
• Performs front desk reception duties including answering phones, scheduling coordination, and providing general information to the public regarding Health Commons Agency programs, resources and referrals as necessary.
• Processes applications, eligibility determination, enrollments and referrals through YESNM PE 2.0, Healthcare.gov, and Sandoval Community Health Information System (CHIS); scans required documentation and submits to appropriate programs; conducts follow up with clients and agencies until resolution of application is complete.
• Assists clients to fill out applications and refer to other regional agencies and community service programs.
• Maintains case file records and client tracking system; check client status and report data on program participation and outcomes.
• Assists with community outreach and public assistance programs as assigned; conduct home visits as needed.
• Trains and cross-trains in a variety of public health programs.
• Enters data into the Consumer Assistance Tracking System in accordance with program policies.
• Performs other job-related duties as assigned.