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Health Insurance Program Specialist

Job Description:
Responsibilities Provide patient and community outreach on available public health insurance programs to low income, uninsured individuals.
Educate patients and the community about health insurance benefits, eligibility requirements, and the application process.
The health insurance program specialist will assist eligible individuals with the enrollment process.
Respond to incoming phone calls and messages from clients regarding Medi-Cal, My Health LA, Covered California and other health insurance programs.
Guide client through complete application process including: a) Screen client for appropriate program and discuss specific program requirements, b) Complete appropriate application with accurate documentation.
c) Provide follow-up on all applications to ensure successful enrollment, d) Identify appropriate venues and solutions to resolve client issues, e) Provide assistance for annual renewal forms to ensure retention.
Remains up to date on all policies and program rules.
Able to apply current information to specific client situations.
Ability to differentiate between different program rules based on client needs.
Seek out outreach venues that serve the uninsured population.
Attend community events to provide public health insurance information.
Conduct educational sessions regarding public health insurance programs and eligibility requirements.
Conduct program services including enrollment and case management at community sites including schools, shelters and WIC sites.
Provide follow-up with community organizations and individuals as needed.
Complete all necessary program and contract forms and paperwork to document program activities.
Complete all data input in program database and clinic practice management software as needed.
Provide Spanish language translation (verbal and written) as needed.
Travel to and between clinic sites and community locations.
Assist in developing and distributing appropriate educational materials.
Attend relevant trainings and internal and external meetings.
Maintain client charts.
Some Saturdays and evenings will be required.
Other duties as assigned within Venice Family Clinic.
Qualifications Strong verbal and written communication skills and active listening skills.
Initiative and problem solving skills.
Public speaking skills.
Experience working with one of the following populations: low income, underserved families, children, uninsured adults or the homeless community.
Desire to work with individuals from diverse ethnic, educational and socioeconomic backgrounds.
Interest in advocating to promote health care accessibility.
Experience working with Medi-Cal, Covered CA and public health insurance programs.
CEC certification preferred.
Public speaking skills.
Ability to prioritize, manage and complete tasks in a timely manner.
Ability to work as part of a team.
Computer knowledge including ability to work with Microsoft Office, database and patient management systems.
Oral and written Spanish language skills required.
Valid California Drivers License and Proof of Auto Insurance.
Ability to travel to different locations.
(Subject to DMV Pull Notice).


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