Coordinator Consumer Benefits

Metrocare Services - Dallas, TX

Full-time - Entry Level

Dallas, TX

Ambulatory Health Care Services

About the position

The Consumer Benefits Coordinator at Metrocare Services plays a vital role in assisting individuals with intellectual and developmental disabilities in enrolling and maintaining eligibility for various federal, state, and supplemental benefit programs. This position is focused on ensuring that processes run efficiently and effectively while advocating for individuals throughout the enrollment process, thereby contributing to the mission of providing meaningful and satisfying lives for those served by Metrocare.

Responsibilities

• Assist individuals in applying for or obtaining enrollment into Medicaid, Medicare, SSI/SSDI, CHIP, Health Marketplace plans, and other relevant benefit programs.
• Conduct telephone or on-site screenings to determine potential eligibility for benefits.
• Verify data to support eligibility determination and ensure accuracy.
• Complete written and electronic documentation accurately and promptly.
• Maintain signed consents for services provided and ensure excellent documentation within the electronic medical record system.
• Maintain consistent contact with consumers and follow up until the enrollment process is complete.
• Coordinate with clinical staff to gather necessary information for benefit applications.
• Advocate on behalf of consumers to appeal denied benefits as necessary.
• Provide technical assistance to consumers in accessing benefits.
• Interpret and explain rules, regulations, and policies for various benefit plans and programs to consumers.
• Attend trainings on rules, regulations, work procedures, forms, and requirements.
• Stay informed about changes in state and federal benefit policies and procedures.
• Participate in administrative meetings and trainings as directed.
• Ensure compliance with established policies and procedures.
• Meet designated benchmarks and quality measures.
• Maintain high integrity and confidentiality in all aspects of the job.

Requirements

• A bachelor's degree is required.
• Two or more years of progressive customer service experience.
• Experience and working knowledge of the eligibility and application process for Medicaid/Medicare, Supplemental Security Income, and Social Security Disability Insurance (SSI/SSDI) are preferred.
• Experience and knowledge related to working with the disability population.

Nice-to-haves

• Bilingual
• Experience in budgeting and financial reporting.

Benefits

• Health savings account
• Paid holidays
• Health insurance
• Dental insurance
• Employee assistance program
• Vision insurance
• Retirement plan including employer matching
• Professional Development Allowance up to $1500 per year
• Bilingual Stipend up to 6% of the base salary