MEMBER SERV ENROLLMENT ELIG COORDINATOR I

pspan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"The Member Services Enrollment amp; Eligibility Coordinator I will perform patient registration, sliding scale assessment, eligibility screening, program enrollment and renewals. They will act as an advocate for the clients by assessing the health and social needs of the clients and refer their clients to appropriate programs./span/span/p p /p pspan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"stronguESSENTIAL JOB FUNCTIONS:/u/strong/span/span/p p style="text-align:center;" /p ul lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Identifies and determines patient eligibility for NEMS sliding fee program, registers/informs clients for NEMS’ service, obtains demographic information, assists in completion of applications and forms, and verifies insurance eligibility.  /span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Assists members in selecting or changing PCP according to established guidelines./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Updates information and data in EPM as it occurs, i.e., changed of address, name, insurance coverage, etc. /span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Acts as a point of contact when receiving complaints, assists with documenting complaints and forwarding the complaint for review./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Assists with taking meeting minutes and notes./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Identifies, assists, and enrolls patients for entitlement programs and updates patient information for Family PACT, Cancer Detection Program, CHDP, BCCTP, Healthy Kids and Healthy San Francisco.  /span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Provides one-on-one education on Health Care Reform; explains eligibility of programs, qualification standards, policy and procedure to prospective clients and members. /span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Assists patients in resolving problems involving enrollment issues with Medi-Cal Covered CA insurance, and other health coverage programs./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Completes all training programs and certifications as required; maintains an active Covered CA Certified Enrollment Counselor certification as required. Participates in training and meetings as appropriate. /span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Provides other enabling services such as letter interpreting and form filling./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Stays up to date on eligibility and changes for all public programs./span/span/li lispan style="font-size:12pt;"span style="font-family:'Times New Roman', serif;"Performs other job duties as required by supervisor./span/span/li /ul