Field Health Benefits Coordinator

About the role

Reports to the Outreach Supervisor and serves as a key liaison between the NJ FamilyCare program and the community. Delivers presentations to groups and individuals, providing clear and courteous information about program benefits, enrollment, and eligibility. Assists beneficiaries with application completion and eligibility determination.

Responsibilities

• Assists walk-in and telephone customers with completing new and renewal applications, HMO selection forms and answers questions about the program.
• Conducts presentations to educate consumers about NJFC and the benefits of managed care within an office and call center setting, at Community Based Organizations, community events and home visits with some evening and some weekend events.
• Respond to telephone inquiries and complaints in a call center environment using standard scripts and procedures.
• Enters eligibility information into a web-based computer system and references other NJ-specific databases as appropriate.
• Determine eligibility for NJ FamilyCare according to the NJ FamilyCare regulations/guidelines by reviewing documentation and following procedures; prepare correspondence for missing information as appropriate; make outbound calls to obtain, clarify, or validate information
• Participate in and contribute to the quality improvement process
• Participate in training sessions conducted in Hamilton and at the regional offices.
• Other duties as assigned.

Minimum Experience Requirements

• Associate degree from an accredited college or university.
• Two (2) minimum experience in the healthcare field.
• Knowledge and operational experience in Medicaid and/or CHIP programs are a plus.
• General knowledge of public health, managed care, human services systems, and local and statewide political systems preferred.
• Experience working with people representing diverse backgrounds is preferred.

Required skills/abilities

• Knowledge of Medicaid and managed care programs.
• Ability to solve problems through analysis and ongoing feedback.
• Ability to work with people of diverse backgrounds.
• Ability to handle multiple tasks and meet deadlines, flexibility under pressure.
• Ability to maintain strict confidentiality.
• Capable of working independently
• Excellent verbal, written, and interpersonal skills.
• Bilingual capabilities a plus
• Ability to interpret and apply program policies and procedures as appropriate.
• Ability to use basic arithmetic procedures to determine the household size and income, and program eligibility.
• Ability to apply logical reasoning to make timely, effective decisions.

Required Qualifications

• Have a High School Diploma or an equivalent level of education
• Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship
• Be able to successfully pass a criminal background check

Benefits

• Competitive hourly pay
• Benefits from day one (medical, dental, vision) for eligible roles
• Paid time off and holidays
• Paid training
• Employee discount program
• Career growth and advancement opportunities
• Supportive and inclusive work environment