Benefits Enrollment Specialist, Cancer Advocate (Pittsburg/ Fort Scott, KS)


POSITION: Benefits Enrollment Specialist, Cancer Advocate– Based out of Pittsburg or Fort Scott, will travel between both locations

DEPARTMENT: Patient Engagement

REPORTS TO: Benefits Enrollment Manager, Director of Patient Engagement

DIRECT REPORTS: None assigned.

FLSA STATUS: Non-Exempt

CORE VALUES

The core values of Community Health Center of Southeast Kansas, Inc. (CHC/SEK) are dignity and stewardship.  Each staff member is expected to perform their job duties in a way that preserves dignity for our patients and maintains good stewardship of CHC/SEK’s resources.

GENERAL DESCRIPTION

Benefits Enrollment Specialists (BES) support patients through benefit education, eligibility determination, and enrollment in various local, state, and federal programs.  This position will focus efforts to assist patients with health insurance enrollments and special coverage programs, such as Early Detection Works (EDW), engage at-risk patients in timely follow up for applicable treatment(s), and promote early detection of breast and cervical cancers across the organization. Not only do BES understand the details of these programs and conditions, but they understand and educate both patients and staff on the importance and positive impact to health each of these programs have. Responsibilities include screening and completing Presumptive Eligibility and Early Detection Works (EDW) applications, assisting with Medicare, Medicaid, and Marketplace applications, providing targeted case management, promoting breast and cervical cancer screening programs, and assisting with other programs as needed.

The overall goal of the Patient Engagement department is to engage high-risk, underserved populations and work to decrease the impact of exacerbations on health status and accelerate recovery through targeted care management. Often staff go above and beyond to provide support in nontraditional settings such as patient homes, neighborhoods, and communities. Patient Engagement staff are flexible, knowledgeable about disease processes, community resources and CHC/SEK care systems, and able to address barriers to improved health outcomes.  They strive to understand, motivate, and help our patients achieve their goals in health and wellness by building rapport, eliminating barriers, collaborating with patients to set goals, and working within a multidisciplinary care team.

ESSENTIAL DUTIES

  1. Proactively identify, and develop workflows to evaluate patients’ eligibility for available assistance programs, manage referrals, and engage patients to complete enrollments.
  2. Demonstrate expert knowledge of various enrollment and eligibility systems, especially Early Detection Works (EDW), which includes staying up-to-date with changes in requirements and qualifications for participation in the benefit programs.
  3. Travel to multiple locations working to support and integrate workflows with clinical teams, such as our mammography sites in Pittsburg and Fort Scott.
  4. Build trusting relationships and follow up with patients about their health via phone calls, home visits, and visits to other settings as needed, serving as a liaison between the community and the health care system.
  5. Educate and motivate CHC/SEK staff and community partners on the importance of available programs, their impact on health outcomes, and how to effectively refer a patient in need of assistance.
  6. Attend trainings, and demonstrate knowledge of breast and cervical cancers, and develop education or patient engagement materials to help support the work of CHC/SEK programs.
  7. Meet patients, and community members in the home, clinic, or community setting and conduct needs assessments, enrollments, and screenings, including identification of socio-economic issues that affect their overall health.
  8. Create educational materials for populations experiencing health disparities, ensuring cultural competency and appropriate literacy levels.
  9. Collaborate with internal teams to ensure timely billing for EDW services, and track program revenues.
  10. Utilize technology to contribute to and utilize data to set and achieve program goals, stay organized, improve outcomes, and promote efficiencies.
  11. Contribute to and utilize data to achieve program goals, improve health outcomes, and advance community health indicators.
  12. Build and maintain positive, respectful, supportive working relationships with clients, patients, providers, community organizations, and others.
  13. Performs additional duties, as may be assigned.

QUALIFICATIONS AND SKILLS

  1. Bachelor’s degree or equivalent experience, preferred.
  2. Knowledge of the benefits enrollment process or experience in related social services, preferred.
  3. Some clinical knowledge of the breast and cervical cancers, preferred but not required.
  4. Valid Driver’s License.

KNOWLEDGE, SKILLS AND ABILITIES

  1. Social and cultural sensitivity appropriate to ethnically and economically diverse patient-and employee-base.
  2. Demonstrate knowledge of the rationale of appropriate patient care.
  3. Must be organized and able to manage/prioritize tasks to meet deadlines, adapts to change in a positive manner, able to work as a part of a team.
  4. Communicates through appropriate channels. Use proper chain of command for patient complaints.
  5. Ability to handle emergency situations calmly and effectively.
  6. Must be computer literate, especially with Microsoft Office products and be proficient with the Electronic Health Record software.
  7. Must be able to maintain good inter-personal relationship with co-workers and other members of the health care team and the organization.
  8. Provide customer service in accordance to the organization’s mission.
  9. Be courteous and respectful when interacting with patients and family members.
  10. Maintain patient confidentiality in accordance to organization’s policy and procedure and HIPAA requirements.

WORKING CONDITIONS

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to stand. The employee is occasionally required to walk.  The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Computer work is frequent. Good lighting and comfortable temperature of ventilation at all times