Application Specialist

Job Description

Job Description

Job Purpose

Provide outreach and education to current FCC clients on accessing insurance options through the Missouri Eligibility & Enrollment System (MEDES). Assist clients with exploring coverage options, reapplication, redetermination, and other related needs. Educate clients on maintaining and effectively using health insurance for services at health centers.

Qualifications

• High school diploma or equivalent required.
• Preferred experience with health insurance processes, including applications, eligibility determination, appeals, and filing procedures.
• Strong written and verbal communication skills.
• Effective time management and organizational abilities.
• Ability to manage multiple tasks simultaneously in a fast-paced environment.
• Proficient computer skills.
• Strong interpersonal skills and ability to work well with others.

Core Job Duties

• Provide outreach and education to clients regarding health insurance options and proper usage.
• Assist clients with the enrollment process, redetermination, and required components for eligibility determination.
• Maintain up-to-date knowledge and proficiency in MEDES, including application processes and eligibility standards.
• Accurately enter required eligibility information into the MEDES portal and process applications for determination.
• Support backlog processing of applications as time permits when not handling FCC-related tasks.
• Collaborate proactively with programs and supervisors to identify and encourage enrollment among eligible individuals.
• Adherence to all applicable evidence-based practice models.
• Orally communicate information effectively and accurately.
• Assure program operates within the constraints of the agency’s certification (CARF, DMH) standards and strategic plan related to clinical care.
• Abide by program and agency policies and procedures.
• Other job duties and special projects as assigned.