Outreach and Enrollment Counselor bei Peoples Community Health Clinic

FLSA Classification: Non-exempt 

Reports to: Patient Accounts Receivable Manager  

Job Summary/Objective: 

The Outreach and Enrollment Counselor raises awareness of affordable insurance options to uninsured patients of PCHC and residents in the PCHC approved service area through community outreach and in-reach efforts within the clinic. Performs all defined services and other related duties in accordance with the mission of Peoples Community Health Clinic (PCHC). 

Protected Health Information Requirements/Access:

• This position will require the use or disclosure of protected health Information.
• This position will use the Payment class of protected health information.
• Restrictions on the protected health information for this position will follow the Privacy Policies of Peoples Community Health Clinic, Inc.
• Use or disclosure of protected health information not routinely available to this position will follow procedures assessed by or directed by management
• Patient Records – Yes       Medical Information System - Yes

Essential Functions: 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Demonstrates and maintains expertise in affordable insurance options.
• Understands the needs of the underserved and vulnerable patient populations.
• Assist patients with enrollment in affordable healthcare insurance plans available under Medicaid, CHIP, and marketplace.  
• Work cooperatively with other clinic staff to assist in addressing patient insurance needs.  
• Assists with and attends public education activities to raise awareness about coverage options available under Medicaid, CHIP, and marketplace.
• Ensure collaboration and coordination of outreach and enrollment activities with other local, regional and/or state agencies.
• Address consumer issues regarding health plan coverage or determinations.
• Assists with booking transportation services for patient appointments.
• Supports a service-oriented atmosphere in accordance with Peoples Community Health Clinic Mission and Philosophy.
• Follows policies and procedures.
• Works to improve work processes and clinical outcomes including health disparity and quality improvement collaborative.
• Develops and maintains own competence including Marketplace Application Counselor Certification (annually) and Iowa Medicaid Presumptive Eligibility Certification (annually).
• Maintains a safe working environment and practices safe working habits.
• Assists in control of Peoples Community Health Clinic resources.

Competencies:

• Strong analytical and problem-solving skills
• Communication – listening, speaking, writing, basic math, and reading comprehension

• Ability to work with diverse groups of people and with a large degree of independence
• Ability to handle multiple tasks simultaneously and to deal with difficult situations 
• Ability to work with and through an interpreter 
• Working knowledge of MS Office Products (ex. Excel, Word, Outlook, Power Point) and Windows Platform. Must be comfortable moving within an EHR system regularly
• Strong public relations including public speaking and customer service skills

Supervisory Responsibilities:

Patient Population:

Work Environment/Personal Protective Equipment:

This position operates in a professional office environment and is not required to wear PPE to perform the essential functions of the position.

Physical Demands:

This position requires frequent alternately sitting and standing (34% - 66% of shift); occasional lifting up to 10lbs and carrying up to 20 lbs. (1% - 33% of shift); frequent finger dexterity and use of hands/arms for repetitive movement (34% - 66% of shift); occasional driving, requires 20/40 near and far vision.

Position Type/Expected Hours of Work:

This is a full-time position. Typically work hours and days are between Monday and Friday,8:00 a.m. to 5:00 p.m. and some flexibility in hours is allowed. Responsibilities occasionally may require irregular hours as deemed necessary. This may include an adjusted work schedule, long days, and early morning or late evening hours in order to meet client scheduling demands. The employee must work a minimum of 40.0 hours each week to maintain full-time status. 

Travel:

Occasional travel and driving are expected for this position.

Education and Experience:

• Minimum High School diploma or equivalent.   Bachelor’s degree in social work, human services, or public/community health administration or related field of education, preferred.
• Minimum of 1 year experience in related field.

Licensure:

Other Duties:

The statements contained in this job description reflect general details as necessary to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements as individuals may perform other duties as assigned.