Under general supervision, explains available programs/services to applicants and through a screening process provides enrollment services and/or application assistance based on applicant’s eligibility.

Essential Duties:

•  Interview applicants to obtain appropriate personal information and additional data needed for application/enrollment in various programs.
• Verify information obtained to ensure accuracy and evaluate information to determine whether eligibility is met for available healthcare programs.
• Enroll applicants in programs determined eligible for.
• Assist applicants with the completion and submission of required applications/forms. • Assess potential referral needs and direct applicants to services as needed, providing program information, benefits and services.
• Maintain client files and enter accurate data into appropriate databases and/or software.
• Participate in audits and reviews of eligibility determinations and client files.
• Perform other duties as assigned.

Knowledge, Skills and Abilities:

• Ensure courteous, effective customer service and that all efforts contribute to a positive client experience.
• Ensure that all client inquiries and requests for assistance are addressed in a timely and professional manner.
• Ensure that all documentation is in compliance with regulatory and financial compliance.
• Develop and maintain positive working relationships with clients and co-workers.
• Maintain up-to-date knowledge of various programs and take the initiative to seek out additional information as needed.
• Ensure all actions, job performance, personal conduct and communications represent CommUnityCare in a highly professional manner at all times.
• Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.
• High level of skill at building relationships and providing excellent customer service.
• Ability to utilize computers for data entry, research, and information retrieval.
• Strong attention to detail and accuracy.
• Excellent verbal and written communication skills.
• Ability to work with a diverse client population.
• Bilingual (English/Spanish) highly preferred.

MINIMUM EDUCATION: High school diploma or equivalent.

MINIMUM EXPERIENCE:
• 3 years of medical office or related experience. Further education in lieu of experience may be considered.
• Basic knowledge of financial eligibility processes and standards.
• Basic knowledge of applicable statues, ordinances and codes.
• Basic knowledge of social service agencies and programs preferred.