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Outreach and Enrollment Specialist
Unity Health Care. Washington, DC

Outreach and Enrollment Specialist

Unity Health Care.
Washington, DC
Expired: over a month ago Applications are no longer accepted.
  • Medical
  • Full-Time
Job Description

INTRODUCTION

Under the supervision of the Associate Director of Social Services, the Outreach and Enrollment Specialist (OES) assists uninsured patients and community members to enroll in health insurance through the DC Health Benefit Exchange (HBE) online portal. The OES will provide conduct community outreach to provide education about health insurance options, conduct health plan cost/benefit comparisons, assist people to apply for insurance via the online portal, field inquiries regarding the HBE process, and provide information about health services available in the community.

MAJOR DUTIES/ESSENTIAL FUNCTIONS

Essential and other important responsibilities and duties may include, but are not limited to the following:

  • Educates uninsured health center patients and community members about the Affordable Care Act and health insurance options through the HBE.
  • Explains affordability programs, Medicaid and DC Healthcare Alliance, qualified Health Plans, Essential Health Benefits, and rights when using insurance.
  • Assists with opening or accessing an account with the HBE.
  • Assists patients with application and determining eligibility for premium tax credits and Medicaid
  • Ensures that patients understand their health plan options and utilize the web-based decision tools to help narrow the choices for qualified health plans
  • Makes referrals as needed to the DC Alliance, a broker, the Exchange, or government and community resources as needed.
  • Explains to patients when life changes can be reported and renewal will be needed.
  • Works collaboratively with Unity administrators, providers, nursing and social service staff to identify uninsured patients and community members.
  • Participates in agency and citywide outreach events to educate the community and assist with insurance enrollment.
  • Provides all services in a professional and confidential manner.
  • Accurately tracks and records activities for reporting to the HBE.
  • Provides an overview of available Unity Health Care (UHC) services, how to select a PCP, schedule appointments, etc.
  • Accurately completes applications within required time frame.
  • Submits clear and accurate data collection forms for all work performed as required by agency, department or grant
  • Attends departmental, health center, site visits, required network events and mandatory trainings and meetings.
  • Performs other duties as assigned.

MINIMUM QUALIFICATIONS

  • High school diploma or GED.
  • Associate’s degree preferred
  • One year experience with insurance or medical front office and/or community outreach and engagement preferred.
  • Experience working in a health care and/or social services setting.
REQUIRED SKILLS, KNOWLEDGE & EXPERIENCE
  • Strong customer service skills.
  • Ability to utilize the internet and navigate the online portal.
  • Ability to organize information and enter data for reporting purposes
  • Basic knowledge of health insurance and health service delivery.
  • Ability to recognize cultural, language, and learning differences
  • Ability to explain and summarize detailed and complex concepts
  • Experience working with people in an one on one setting to provide education about public or private health programs helpful.
SUPERVISORY CONTROLS

The position reports to the Associate Director of Social Services.

GUIDELINES

The position abides by all rules and regulations set forth by applicable licensing and regulatory bodies, as well as UHC policies and procedures.

PERSONAL CONTACTS

This position requires contact with staff at all levels throughout the organization. There are also external organizational relationships that may be part of the work of this individual.

PHYSICAL EFFORT AND WORK ENVIRONMENT

  • Must be physically able to sit, stand, and walk for long periods of time. Must be able to bend, lift, and carry files from one location to another.
  • Must have visual acuity and the ability to sustain long periods of computer usage.
  • May sit for prolonged periods of time at a desk or may use the telephone for long periods of time.
  • The office environment may be stressful with multiple, time-sensitive tasks to be accomplished within a short period of time.
  • Must be able to work independently with minimal supervision, be capable of making sound business and decisions, be detail oriented, alert and self-motivated.
  • Must be able to effectively manage difficult situations, staff, and customers.
  • Refer to the attached ADA check list.
OTHER SIGNIFICANT FACTS

Hours may include some evening and weekend hours, as well as some early morning hours as events, meetings and activities dictate. The incumbent must be able to balance the needs of diverse constituencies on a daily basis. The position will also report to the Lead Enrollment Eligibility Specialist.

RISKS

Unity Health Care provides primary health care services to underserved patients in Washington, DC. As a federally qualified health center there is a commitment to serving traditionally underserved people in the community. Unity seeks to maintain facilities, which are safe, sanitary and serviceable. The position involves everyday risk and discomforts, which require normal safety precautions typical of such places as offices, meetings, training rooms, and other UHC health Care Sites. The work area is adequately lit, heated, and ventilated. All medical services shall be provided according to medically accepted community standards of care. The employee shall provide evidence of a recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results. COVID vaccination required.

The statements contained herein describe the scope of the responsibility and essential functions of this position, but should not be considered to be an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.

Address

Unity Health Care.

Washington, DC
20009 USA

Industry

Business

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