Job description

Squirrel Hill Health Center (SHHC), a dynamic and growing Federally Qualified Health Center in Pittsburgh, PA, is seeking a full time Outreach & Enrollment Coordinator to Assists consumers in obtaining access to a single and streamlined application process (Federal portal) that will enable them to determine if they, or a family member, are eligible for enrollment under Medicaid or CHIP or if they are eligible for financial assistance for a qualified health plan offered through the Marketplace and facilitate the enrollment, if applicable.

Core Responsibilities:

• Works directly with patients and community members to explain SHHC’s Sliding Scale Application, and manages turning in the completed applications to the Billing Liaison.
• Works under the direction of the CFO to expand direct patient education around the Sliding Scale Application and other identified areas of patient education.
• Demonstrates and maintains expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of the underserved and vulnerable populations; and privacy and security standards.
• Conducts public education activities to raise awareness about coverage options available under Medicaid, CHIP, and the Marketplace.
• Provides referrals to any applicable office of health insurance consumer assistance or ombudsman established under Section 2793 of the Public Health Services Act to address consumer grievances, complaints, or questions about their health plan, coverage, or a determination.
• Completes all required and applicable federal and/or state consumer assistance training as is required for all assistance personnel carrying out consumer assistance functions.
• Conducts “in reach” with currently uninsured health center patients and “outreach” to non-health center consumers in the approved service area.
• Coordinates activities of the SHHC CAC team to make sure that CACs are deployed usefully to perform both in-reach with existing SHHC patients and outreach in the general community. Works with community groups to provide outreach and enrollment assistance. Keeps and coordinates a schedule of events for SHHC CAC participation.
• Collects data for national, state, and local agency reports.

Qualifications:

• *

COVID vaccine required.*

• Bachelor’s degree in a human services field or equivalent experience preferred.
• Knowledge of eligibility and enrollment rules; qualified health plan options; and privacy and security standards.
• Knowledge of community resources, including mainstream resources.
• Demonstrated ability to work effectively with underserved and vulnerable populations.

EOE AA M/F/Vet/Disability

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Job Type: Full-time

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