Outreach and Enrollment Specialist
Milwaukee, WI US
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Posted 18 days ago
Job Description

Assisting clients with the completion of all types of Medicaid applications in which the client is attempting to complete. Client assistance will be in the form of paper applications, patient education, advocacy and utilization of the State of Wisconsin Access system at http://access.wi.gov. Benefits Coordinators are required to complete BadgerCare applications including ACA determinations and enrollments, BadgerCare Core, BadgerCare Standard, pregnant women, well women, etc.

POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES
Assisting clients with the completion of all types of Medicaid applications in which the client is attempting to complete. Client assistance will be in the form of paper applications, patient education, advocacy and utilization of the State of Wisconsin Access system at http://access.wi.gov. Benefits Coordinators are required to complete BadgerCare applications including ACA determinations and enrollments, BadgerCare Core, BadgerCare Standard, pregnant women, well women, etc.
 

 
  Essential Job Duties
 

  • Provide assistance to patients with application(s) and preparing necessary documentation for eligibility determination for Federal and State Programs. Obtains necessary signatures, forms, documentation, etc.
  • Assist clients with the completion of all types of Medicaid applications in which the client is attempting to complete.  Client assistance will be in the form of paper applications, patient education, advocacy and utilization of the State of Wisconsin Access system at http://access.wi.gov and other relevant sources.
  • Complete a total of 40 BadgerCare applications per month (this goal will be prorated based on all components being 100% operational). BadgerCare applications include BadgerCare Core, BadgerCare Standard, pregnant women, Well Women, etc.
  • Tracks patients follow through with application process via eligibility lists and contacting patients directly. Provides troubleshooting assistance to families for successful enrollment into the health insurance programs.
     
  • Available both evening and weekend hours to attend presentations, seminars, trainings and accept Medicaid applications in conjunction with other partners.  Notice will be given as soon as reasonably possible.
     
  • Conducts and attends outreach activities to promote and market services (i.e. health fair and community events).
  • Available as referral source for internal staff referring clients attempting to apply for all Medicaid benefits.
  • Achieve monthly approvals of 95% or higher for all Medicaid applications.
  • Strive to achieve 100% accuracy with information provided to clients applying for benefits which will eliminate process inefficiencies.
  • Document weekly, monthly, quarterly and annual statistics both summary and detail for submission to the Chief Operating Officer.
  • Submit requests for approval to attend meetings and/or seminars pertinent to job functions as far in advance as possible.
     
  • Attends meetings as required; conducts training sessions with staff.
     
  • Reviews and compiles reports as needed. Documents outreach, enrollment, and expenses for tracking purposes.
     
  • Maintain established office policies and procedures. Ensuring compliance with OSHA and HIPPA guidelines
     
  • Customer Service – Treat customers, patients, co-workers and others with dignity, respect and trust. Work effectively by sharing ideas in a constructive and positive manner.
     
  • Promote the mission, vision and values of the organization in all interactions.
     
  • Report to work as scheduled
     
  • Other duties as assigned
 
Job Skills and Abilities
The individual must respect the confidentiality of patient information while performing job duties and to establish and maintain effective working relationships with patients, employees and community. The individual must be highly organized and have strong initiative and problem solving skills, in addition to having a basic knowledge of accounting and customer service functions of an office. The candidate must also have a valid driver’s license, be insured and provide own transportation.
The individual is responsible for acquiring and maintaining benefits subject matter expertise in order to delineate best practices including the access and utilization of the State of Wisconsin Access system, and the health care marketplace. 
The individual must possess the ability to read and interpret documents such as operating instructions, and procedure manuals; write routine correspondence; speak effectively before groups of customers or employees of organization. Bilingual skills (Spanish/English) are helpful, but not required. The individual must communicate with patients, families, communities, other health professionals and co-workers in a responsive and responsible manner to support a team approach to the maintenance of health and the treatment of disease.  Engage others, appropriate to the specific care situation, in shared patient-centered problem solving. 
 
 
 
 

POSITION REQUIREMENTS

Education: BS degree in Social Work, Sociology or Human Services, MSW, MS a plus.
Experience: Demonstrated knowledge and experience regarding healthcare benefits and community resources 5-7 years of demonstrated ability as a client advocate. Ability to self manage and operate effectively within team settings Strong analytical skills. Strong written, verbal and interpersonal skills. Proficient in Microsoft applications (e.g. Word, Excel). Comfortable in an environment with changing prioritizes and time pressures.


 

required. EEO/AA: Milwaukee Health Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Milwaukee Health Services complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training


Milwaukee Health Services, Inc. is an equal opportunity employer.

Milwaukee Health Services, Inc. does not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or veteran status.

 

Job Summary
Start Date
Immediately
Employment Term and Type
Regular, Full Time
Hours per Week
40
Work Hours (i.e. shift)
8am-5pm
Required Education
Bachelor's Degree
Required Experience
5 to 7 years
 This company is a Federal Contractor
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