This job was posted by https://www.arjoblink.arkansas.gov : For more
information, please see: https://www.arjoblink.arkansas.gov/jobs/4240881
SCOPE OF POSITION:\
Responsible for assisting individuals as they look for health coverage
options through the marketplace. Educate individuals about the
Marketplace and refer consumers to health insurance ombudsman and
consumer assistance programs when necessary. Provide communication,
education and promotion of behavioral and mental health program services
including substance abuse and mental health resources to consumers.
Collaborate with professional staff to meet contract deliverables
ensuring timely provision of services and appropriate follow up.
Document services rendered and provide reporting as required. Support
the organizations mission, vision, and values by exhibiting the
following behaviors: Honesty, Excellence, Accountability, Respect and
Teamwork.
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ESSENTIAL JOB FUNCTIONS:\
1. Maintain expertise in eligibility, enrollment and program
specifications for qualified health plans (QHPs) and insurance
affordability programs, and conduct public education activities to raise
awareness about the Marketplace.\
2. Must inform consumer about the full range of QHP options and
insurance affordability programs for which they may be eligible, which
includes: providing consumer with fair, accurate, and impartial
information that assists them with submitting a Marketplace eligibility
application; clarifying the distinctions among health coverage options,
including QHPs; and helping them make informed decisions during the
health coverage selection process.\
3. Coordinate communication between various components of the AR
Medicaid program.\
4. Maintain comprehensive knowledge of specialty area, pertinent
organizations and health care environment. Knowledge should include
information regarding: contract, contract deliverables, policies and
procedures, resources available, current research and reports, trends,
etc.\
5. Responsible for the resolution of customer/client requests including
research, referral, policy review, revision and development,
documentation and follow up in accordance with established
policy/procedures.\
6. Communicate effectively with customers and/or recipients. Develop and
maintain working relationships as necessary to meet contract
deliverables of specialty area project.\
7. Act as a resource to internal and external customers for information
pertaining to specialty area focus.\
8. Understand and utilize project-tracking database to document and
monitor services/activities provided and to compile a comprehensive
database of activity. Maintain accurate statistical data to meet
contractual and other reporting requirements.\
9. Coordinate the timely collection and data entry of all required
documentation.\
10. Work with Information Technology department to coordinate system
developments and customizations.\
11. Assist in the creation and maintenance of necessary
reports/documents to track and report project information. Prepare ad
hoc reports and/or statistics as directed.\
12. Monitor specific items within the area of focus, provide
recommendations/feedback to external customers for quality improvement
and follow through for compliance of recommendations for improvement.\
13. Assist in the development, production, maintenance and delivery of
educational materials/activities.\
14. Adhere to format, content and style guidelines, giving consideration
to usability and ensuring accuracy, consistency, and quality.\
15. Communicate needs and requests to other team members as
appropriate.\
16. Follow AFMC, state and federal protocols regarding data
confidentiality/security and HIPAA compliance.\
17. Additional duties as assigned.
Physical and Sensory Requirements (With or Without the Aid of Mechanical
Devices):\
Mobility, reaching, bending, lifting, grasping, ability to read and
write, ability to commun cate with personnel, ability to remain calm
under stress and ability to travel as needed. Must be able to lift and
transport 25 pounds. Must be capable of performing the essential job
functions of this job, with or without reasonable accommodations.
EDUCATION:\
Required: High School Diploma\
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EXPERIENCE:\
Required: Two (2) years experience within the healthcare arena and
customer relations.\
Preferred: Thorough understanding of Behavioral and Mental Health.
INTERNET REQUIREMENTS:\
Reliable, high-speed wireless internet service (Wi-Fi)\
An upload speed of at least 2Mbps is required to support softphone
functionality.
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KNOWLEDGE, SKILLS AND ABILITIES:\
Must possess intermediate level computer skills (Excel, Word, Power
Point and Outlook)\
Type 50 wpm\
Exceptional skills in business English and spelling\
Ability to maintain confidentiality\
Strong oral and written communication skills\
Creativity\
Customer se