Social Services Agent

Summary

1. Educates visitors/clients/patients customers of the role of a social services agent vs. the DCF role and the application process.
2. Completes the DCF (Department of Children and Families) and Community Medical Group consent forms on-line and obtain the customer’s signature on the electronic signature pad.
3. Explains the advantages of becoming a member of Community Medical Group to our customers.
4. Completes the ACCESS applications for our customers based on the information they provide and submit to the Office of Economic Self-Sufficiency for the client/patient, as assigned.
5. Assists clients in creating a “My ACCESS Account” 
6. Follows up daily on the ACCESS application until the Office of Economic Self-Sufficiency determines their eligibility.
7. Contacts visitors and patients and inform them of the determination made on their application by the Office of Economic Self-Sufficiency.
8. Informs customers who are determined eligible for Medicaid, that they have the option to select a health plan of their choice and Community Medical Group as their primary care physician.
9. Assists customers with the health plan selection process.
10. Documents customer demographics and activities that take place during the application process such as health plan selection and enrollment with CMG software.
11. Assists clients/visitors in using the courtesy phone room as necessary.
12. Completes all applications and handle all confidential information in an honest, ethical and professional manner.
13. Ensures that all HIPAA standards are in compliance.
14. Ensures accurate account of the information provided by the client/visitor.  Communication with the client/visitor should not be leading them to any specific response.
15. Performs other duties as assigned

1. Education/Experience:
2. Must have High school diploma or equivalent.
3. Previous experience in customer service.
4. Previous experience with DCF or other government assistance programs preferred.
5. MS Office programs and client software experience.
6. Experience in Data Entry

1. Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
2. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines and standard accepted practices 
3. Use decision making skills to identify alternative solutions and resolve problems.
4. Ability to work with individuals within and outside the organization, in professional and courteous manner.
5. Ability to work well and maintain relationships in a team environment.
6. Understand written sentences and paragraphs in work related documents.
7. Strong ability to use independent judgment and initiative.
8. Organization and time management skills.
9. Ability to use resources to solve problems and resolve issues as they arise.
10. Strong written and verbal communications skills
11. Must be detail oriented.
12. Strong organizational and interpersonal skills.
13. Bilingual skills (English/Spanish or English/Creole) preferred