Operations - Eligibility Enrollment Specialist

MHC Healthcare is seeking an Eligibility Enrollment Specialist to join the outreach team at the Marana Main Health Center located in the heart of Marana, AZ.

The Eligibility Enrollment Specialist will identify, educate, and conduct initial screening for prospective enrollment in the Arizona Health Care Cost Containment System (AHCCCS) qualified Marketplace Insurance and the MHC Sliding Fee Schedule programs. MHC Healthcare is a Federally Qualified Community Health Center (FQHC) with 17 sites in Tucson and Pima County.

Our mission is to improve our Community by providing exceptional whole-person healthcare.

Qualifications

The following qualifications are required:

• High school diploma or equivalent required
• One year of experience working in a responsible position with primary emphasis on public contact required
• Bilingual English/Spanish required
• Fingerprint Clearance Card through the Arizona Department of Public Safety or ability to obtain upon hire

Preferred Qualifications

The following qualifications are preferred:

• Associates degree preferred
• Experience with the Health-e-Arizona Plus system preferred
• Strong familiarity with human service agencies servicing low-income and minority populations preferred
• Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

Supervisory Responsibility

This position has no supervisory responsibility.

Ideal Candidate

The ideal candidate will also possess the following knowledge, skills, and abilities:

• Ability to obtain Certified Application Counselor (CAC) certification with the Arizona Department of Insurance within six months of hire required
• Understands issues concerning low-income and minority communities
• Appreciation of cultural sensitivities involving people from a wide range of backgrounds
• Ability to increase the understanding and importance of prevention and attention to medical treatment
• Ability to communicate effectively with patients and employees of the eligibility agencies
• Ability to perform basic calculations using whole numbers, fractions, and decimals
• Ability to work under stressful situations
• Computer literate

Duties and Responsibilities

Reports directly to Outreach Supervisor OS for overall program responsibilities and requirements. However, daily duties at the health center are directly supervised by Associate Director and/or Practice Manager.

• Greets patients in a courteous, friendly, and professional manner
• Inform families about the availability of publicly financed health care programs and insurance
• Performs initial eligibility screening, including compiling necessary documentation and forwarding application directly to the agencies
• Coordinates with the agencies to expedite the eligibility determination of applicants
• Updates files daily to reflect the status of applications
• Follows all MHC and State guidelines for processing of application and documentation requirements
• Confirms and reschedules applicant appointments as necessary
• Manages missed appointments through client follow-up
• Educates all staff members, including providers, on programs to further promote outreach efforts in the community
• Develops partnerships with the community and local businesses, disseminates information to the targeted population
• Compiles data records, outreach activities, and the number of applications generated for each activity
• Participates in in-service education programs as requested
• When not working assigned outreach duties as prescribed, assists with other health center duties, such as front desk receptionist, insurance eligibility, appointment confirmation, scanning, indexing, or other related duties.

Benefits

MHC Healthcares vision is to be the premier provider and employer in community health. To support our mission and vision in our community, MHC Healthcare believes health and well-being must start at home. Therefore, employees have many opportunities to care for our own health and wellness with benefits such as:

• Medical, dental, and vision
• 403(b) with employer contribution
• Short-term disability and other benefits
• Paid time off, including 11 holidays, plus vacation and sick leave accrual
• Paid bereavement, jury duty, and community service time
• Employee discount for medical services (500 per year for full-time)
• Education reimbursement (3000 per year for full-time)

Equal Employment Opportunities

Marana Health is committed to providing equal employment opportunities to all individuals, including those with disabilities and pregnancy-related conditions. If you require a reasonable accommodation to apply for a position or to participate in the interview process under the Americans with Disabilities Act (ADA) or the Pregnant Workers Fairness Act (PWFA), please contact our Human Resources Department at 520-682-4111.

Marana Health will recruit, hire, train, and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity, or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. In addition, all personnel actions, such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement, and rehire, will be administered in accordance with the principles of equal employment opportunity.