Job Summary
Facilitates comprehensive linkage and follow-up between clients and staff and the Cuyahoga County Department of Human Services Social Security, the Marketplace, The Childrens Health Insurance Program (CHIP), and other organizations that provide benefits. The responsibilities and duties of this position include but are not limited to:
Job Qualifications
HS diploma or equivalent and related experience in working with entitlements. Must demonstrate and maintain expertise in eligibility and enrollment rules and procedures. Must have training in the Marketplace and have passed the test for Certified Application Counselors in preparation for the current year open enrollment. Know and understand the range of qualified health plan options and insurance affordability programs. Possess a valid Ohio drivers license.
Supports the organizations overall mission and values, including initiative, teamwork, and flexibility. Supports the agencys philosophy, values, and goals and is conscientious about all organizational values. Is ethical in all interactions with the organizations staff and external parties.
Adheres to the ethical confidentiality and professional standards of federal and state law, employment policies, and the policies of appropriate licensing and credentialing boards. Must have sensitivity in relating to persons of varying backgrounds and to those who have experienced psychiatric problems.
Ability to maintain appropriate and required confidentiality, ensuring the integrity of sensitive information written and/or verbal. Ability to work on a variety of projects concurrently. Ability to handle a diversified workload.
Essential Job Duties and Responsibilities
Provides clients with information and assistance regarding entitlements Explains eligibility Assists clients with completing forms, applications, referrals, and submits documentation Works with clients to complete the agencys Financial Investigation process (FEE) Explains financial contracts to clients Verifies insurance coverage and obtains documentation of insurance coverage Applies sliding fee when appropriate Completes the ADAMHS Shares" program process, including diagnostic entry and UCI billing numbers when appropriate Actively works to ensure continued benefits for clients When possible, serves as an authorized representative for Medicaid and/or Food Assistance on behalf of the client Assists clients through Medicaid and/or Food Assistance redetermination processes through tracking, meeting attendance, and completion of the redetermination process Provides follow-up to confirm establishment of benefits Conducts patient interviews and completes sliding-fee discount applications for those who do not qualify for public benefits Monitors the volume of patients on the sliding-fee discount program and tracks hardship requests for those who find co-pays and deductibles a barrier for accessing care Provides outreach and education to raise awareness about the Marketplace and refers consumers to health insurance ombudsman and consumer assistance programs when necessary Conducts public education activities to raise awareness about coverage options available under Medicaid, CHIP, and the Marketplace Provides referrals 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 Acts as the agencys liaison with the Department of Human Services, ODJFS, and/or other service providers that will assist clients with obtaining entitlements Develops professional relationships with other service providers, especially with other agencies that are providing services and/or entitlements to mentally ill individuals Demonstrates sensitivity and responsiveness to clients ethnic, cultural, and developmental backgrounds Assists case managers with any needs regarding entitlements and actively communicates on the current status of entitlements Engages in accurate and timely record keeping in the agencys EMR Provides assistance and consultation to staff regarding entitlement questions Attends continuing education trainings as directed by their supervisor Performs other duties as assigned.
About The Centers
The Centers, through healing, teaching, and inspiring, helps individuals and families to reach their full potential. We provide health, family, and workforce services at 11 locations throughout Greater Cleveland, creating life-changing solutions for people to lead healthier and more successful lives. We strive to be a service-oriented workplace that pioneers and co-creates solutions while fostering an inclusive community where our team members thrive.
Wellbeing and Benefits
Providing quality benefits to our staff is important to us. Just as important is our staffs wellbeing. Thats why we offer a number of choices from medical to dental to vision plans to meet the different needs of our staff.
The Centers is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, or expression, national origin, disability status, protected veteran status, or any other characteristic protected by law.