Health Insurance Counselor

The Connecting Kids to Coverage (CKC) Health Insurance Counselor under the supervision of the Health Insurance Services Program Manager is responsible for educating, assisting, and enrolling current Health Center patients, and non-patient consumers within Jackson and Clay Counties in MO in health insurance through Medicaid (MOHealthNet/CHIP). Candidates must complete all training required by the Centers for Medicare & Medicaid Services (CMS); the State of Missouri; the Missouri Primary Care Association (MPCA) and any other applicable federal and/or state training and licensing requirements related to assisting consumers in MOHealthNet/CHIP including receiving and maintaining access to the MEDES/FAMIS and EMOMED Medicaid eligibility systems. Candidates must complete a mandatory CMS Certified Application Counselor (CAC) training program and pass an online exam to ensure their understanding of the Health Insurance Marketplace and pass a background check and receive a State of Missouri Navigator License.

PRIMARY ACCOUNTABILITIES

Achieve Results

1. Take referrals of uninsured patients and perform outreach to identify non-health center patients within Jackson and Clay counties to educate, assist and/or enroll uninsured children, pregnant women, and families into MOHealthNet/CHIP.

2. Identifies community programs and resources and creates school-based and other community partnerships to get referrals of uninsured families with young children who need help applying for MOHealthNet/CHIP and enrolling or re-enrolling in MOHealthNet coverage at Annual Review.

3. Ability to travel and work at various Sam Rodgers clinics or at off-site locations throughout Jackson and Clay counties to achieve program and grant goals.

4. Explores alternatives and determines the best solution when trying to resolve customer service concerns.

5. Capacity to help consumers increase their health literacy by understanding their health insurance plan's benefits; and how to use their health insurance to access the healthcare system.

6. Regularly use and maintain their access to the MEDES, FAMIS and EMOMED Medicaid eligibility systems to look up applicant information at the MO Family Support Division to help applicants apply, enroll, or renew their MOHealthNet coverage.

Operational Excellence

• Operate in a fiscally and socially responsible manner, upholding the image and goodwill of the organization and its mission at all times.
• Works in compliance and consistency with all laws, regulations, best practices, and other relevant standards.

Relationships

• Develops and maintains favorable internal relationships, partnerships with internal customers, patients, departments, and other internal parties.
• Develops and maintains favorable external relationships, partnerships with external clients, vendors, resources, funding sources, and related strategic and important contacts.

Leadership/Supervision, Stewardship… 'Citizenship'

• Sets an example for coworkers and in team development.
• Adheres to policies, guidelines, laws and is a good steward of resources and best practices.