Customer Service Representative III

Midtown Health Center - Norfolk, NE

Norfolk, NE

Ambulatory Health Care Services

About the position

The Customer Service Representative III provides outreach, health education, navigation and eligibility assistance to patients and non-patients. This position also performs enrollment activities, referral services, and serves as an advocate for patients.

Responsibilities

• Assists in the development of and ensures the distribution of outreach materials to targeted community members.
• Recruits targeted individuals for program participation through workshops, community meetings, surveys, broadcast and print media, and other activities.
• Contacts local service organizations to ensure appropriate referrals are made to Midtown Health Center.
• Keeps abreast of issues facing targeted populations.
• Works to continually build new relationships and maintain existing ones with current and future community entities that are providing services to consumers to promote health insurance coverage through the Federal Marketplace, Medicaid and or CHIP along with agencies providing Social Service assistance.
• Responds to requests for assistance by assessing service needs and providing direct intervention, information and referral services as appropriate.
• Follows-up on referrals in order to assess outcomes and provide additional services as needed.
• Provides new patient orientation sessions, performs initial screening to include suitability and eligibility.
• Maintains knowledge and expertise in eligibility, enrollment and program specifications of the Federal Marketplace and other health coverage programs such as Medicaid and CHIP.
• Assists patients and non-patients in securing access to available health, social service and other assistance programs.
• Provides enrollment assistance to patients and non-patients to Qualified Health Plans in the Marketplace.
• Administers the Madison County General Assistance program on behalf of Madison County to help patients and non-patients with costs within the program guidelines.
• Completes patient records to include eligibility documents, assessment forms, information and referral logs and other records as assigned.
• Maintains files and records of individuals served, services provided, outreach activities conducted, surveys completed and any other general reporting requirements.
• Coordinates and educates Midtown Health Center staff on opportunities for patients.
• Conducts public education activities to raise awareness about the Health Insurance Marketplace.
• Participates in regularly scheduled conference calls, meetings and trainings to provide accurate, quality services.
• Provides data and other information necessary for CMS and other reporting requirements.
• Performs other duties as assigned.

Requirements

• High School diploma or GED preferred.
• Associates degree in Human Services or Social Work preferred.
• Appropriate experience may be substituted for minimum education requirement.
• Experience in a medical office preferred.
• Must have a valid driver's license and the ability to utilize own transportation for work purposes.

Nice-to-haves

• Bilingual (English/Spanish) verbal and written skills highly desired.
• Proficient in Microsoft Office applications and database application.
• Must have a general knowledge of medical terms.