Membership Specialist

Summary

The Membership Specialist performs all aspects of Membership, which includes front and back-office operations, screening and applying members for benefits, general scheduling, enrollment and registration, maintenance of member data in the electronic health record, and maintaining the general state of, and member flow through, the front lobby and immediate property.

Essential Duties and Responsibilities

• Performs several front and back-office functions that are related to appointments, insurance verifications, collection of fees, and providing member training on use of Kiosks.
• Performs several customer service functions related to maintaining the lobby and front office areas and ensuring members receive a positive customer service experience while waiting.
• Performs several medical records functions related to the maintenance of member’s records and processing of requests for records.
• Performs several functions related to member benefits that ensure that members’ insurance information is current, they are eligible for the requested service, and assisting with the screening or application of state funded benefits.
• Performs several registration functions that ensure a member’s record is opened and ready for clinical services to begin and gathering pertinent information, releases, and identifications.
• Performs several telephonic, scheduling, and resource functions that ensure callers are routed to the appropriate contacts, messages are documented according to protocol, or providing general information regarding available resources within the community.
• Assisting in the quality management process by facilitating the dissemination of information aimed at collecting satisfaction data or issue resolution.
• Works collaboratively with all levels of staff to ensure effective Membership operations.
• Performs other duties as assigned in keeping with the growth and general responsibilities of the position.

Skills & Requirements

Education

• Membership Specialist – BHPP (0 to 4 yrs health experience)
• High school diploma or equivalent, AND combination of training and experience equivalent to 1 year of work history that demonstrates progressively increased responsibility, AND combination of training and experience equivalent to 1 year using electronic data systems OR
• Completion of related Certification or Associate's degree may substitute for the required experience.

Membership Technician I & II - BHT

• Masters or Bachelor’s degree in a healthcare field and no related experience OR;
• Masters or Bachelor’s degree in a non-healthcare related field and 1 year relevant experience OR;
• Associates’ degree in a healthcare field and 1 year related experience OR;
• Associate’s degree in a non-healthcare field and 2 years related experience OR;
• Certified Peer Support Specialist and 2 years related experience
• High School diploma or General Education Equivalent (GED and 4 years related experience.

Other:

• Bilingual skills a plus.
• Use of Microsoft Office programs Word, Excel, and Outlook.

Certifications:

• CPR and First Aid obtained no later than the first 60 days from hire.

Preferred Certifications

• Fingerprint Clearance obtained no later than the first 90 days from hire.

Pay Information:

• Starting Pay Rate: $18.00
• Pay Comments: Pay rate based on level of education and years of work experience relevant to this position.

"Equal Opportunity Employer Minorities/Women/Veterans/Disabled"