Medicare Counselor & Outreach Specialist

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Job Title:

Medicare Counselor & Outreach Specialist

Agency:

Department of Human Services

Job Requisition ID:

JR

Shift:

Day (United States of America)

Compensation Details:

$59143.37

Job Description:

Stronger Families for a Stronger Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgias most vulnerable populations. Our mission is to strengthen Georgia by providing individuals and families access to services that promote self-sufficiency independence and protect Georgias vulnerable children and adults.

Start your career in public service .The Georgia Department of Human Services (DHS) Division of Aging Services (DAS) State Health Insurance Assistance Program (SHIP) is seeking candidates for the position of Medicare Counselor & Outreach Specialist . This position is located in Atlanta Fulton County Georgia and will cover the additional counties of Cherokee Clayton Cobb DeKalb Douglas Fayette Fulton Gwinnett Henry and Rockdale. Travel is required to meet the business needs of the unit.

What we offer. Enjoy a generous benefits package that includes a flexible work schedule unique training opportunities employee retirement plan 401(k) plan and 457 plan 13 paid holidays vacation & sick leave medical dental vision long/short-term care life insurance and employee discount programs; in addition to telework opportunities depending upon the position.

Join Our Team!

The State Health Insurance Assistance Program (SHIP) provides personalized counseling to help people understand their Medicare benefits make informed decisions about health and drug plans and apply for financial assistance programs.

Roles and Responsibilities:

Training:

• Complete Medicare SHIP and MIPPA training for initial certification.
• Obtain Medicare Counselor certification and complete the annual training and certification requirements.
• Participating in Medicare training courses provided by CMS ACL and the SHIP Technical Assistance (TA) Center Medicare Rights Center and the National Council on Aging (NCOA).
• Learn about programs in the Division of Aging Services (DAS).

Outreach Specialist:

• Develop and deliver training about Medicare SHIP MIPPA and the Division of Aging Services (DAS) programs.
• Provide a weekly calendar on outreach and education events for Georgia SHIP.
• Provide culturally affirmative and linguistically accessible information to the public.
• Participate in the Georgia Family Connection Partnership meetings and outreach events.
• Participate in the ADRC Statewide Advisory Council meetings.
• Participate in the Statewide Independent Living Council of Georgia meetings.
• Participate in the Georgia Department of Public Health meetings.
• Attend required meetings for Georgia SHIP MIPPA and DAS.

One-on-One Counseling:

• Provide counseling to Medicare beneficiaries via phone walk-ins mail and email.
• Provide in-person counseling sessions at local libraries senior centers and other public locations.
• Use Platform28 application to answer inbound calls.
• Use Platform28 to complete outbound calls and provide counseling service to clients.
• Provide plan comparisons enroll clients in Medicare Advantage and Prescription Drug Plans and calculate the Part D cost savings.
• Complete the Extra Help and Medicare Savings Program applications for client in-person or on the phone.
• Maintain access to Georgia Gateway Worker Portal to assist clients.
• Submit Medicare appeals and resolve billing issues for clients.
• Submit cases in the CMS Compliant Tracking Module (CTM).

Customer Service:

• Provide exceptional customer service to clients and stakeholders.
• Maintain a positive attitude and professional demeanor to assist clients.
• Respond timely to inquiries or request for presentations and information.
• Track inquiries and requests that are received.
• Acknowledge and resolve customer requests for presentations/events and complaints in a timely manner.

Outreach and Education:

• Submit and maintain a monthly calendar of outreach and education events scheduled.
• Conduct a minimum of 10 outreach events per month (in-person or virtual).
• Conduct monthly outreach events in Cherokee Clayton Cobb DeKalb Douglas Fayette Fulton Gwinnett Henry and Rockdale counties.
• Respond to requests for community presentations and participation in outreach events (i.e. health fairs/booths/exhibits).

Date Entry in STARS:

• Enter each outreach event in the Federal database STARS.
• Enter the Team Member Form and Training Forms as required.
• Perform quality assurance checks on data to ensure accuracy.

Partnerships:

• Establish partnerships with community organizations and employer-based companies.
• Establish partnership with organizations that serve individuals with disabilities those that reside in rural areas those under the age of 65 with Medicare and those with limited English proficiency.
• Submit the Georgia SHIP partnership spreadsheet and partnership agreements.
• Maintain and contact community partners every 6 months to strengthen relationships and offer Medicare presentations.
• Establish an email distribution list to ensure community partners have current information on Medicare and DAS services.

Staff and Volunteers:

• Collaborate with Georgia SHIP staff and volunteers to conduct outreach and education events when available.
• Provide guidance and mentor to new volunteers on outreach events and presentations.

Other Assignments:

• Complete other assignments as needed.

Core Competencies:

• Strong communication skills: ability to write clear and articulate responses to clients.
• Excellent oral presentation and interpersonal communication skills.
• Attention to details and the ability to follow through on requests.
• Organization skills to manage outreach activities appointments and events.
• Community engagement to work with diverse communities.
• Conflict resolution skills and the ability to handle difficult clients.
• Ability to meet deadlines and adapt to a fast-paced environment.
• Proficient in MS Word Excel and PowerPoint.
• Strong contributor in a team environment.
• Displays honesty accountability and a strong commitment to his or her public duty and presents oneself as a credible representative of the agency and State to maintain the public trust.

Minimum Qualifications:

• Bachelors degree in a related field from an accredited college or university AND four (4) years of professional job-related experience which includes one (1) year in a lead worker team leader or Supervisory role;

OR

• Two (2) years of experience at the lower-level Social Services Program Consultant 2 (SSP041) or position equivalent.

Preferred Skills/Qualifications: Preference will be given to candidates who in addition to meeting the minimum qualifications demonstrate some or all the following skills/experience:

Bilingual preferred; Spanish Korean.

One year of experience with Medicare or Medicaid.

Two years of experience conducting outreach in the community.

Two years of experience with Medicare or Medicaid.

Three years of customer service experience.

Experience handling large volumes of customer calls.

Bachelors degree in Gerontology or Aging Services from a regionally accredited college/university or five years of Medicare experience working in the aging network.

Minimum Qualifications:

Bachelors degree in a related field from an accredited college or university and four (4) years of professional job-related experience which includes one (1) year in a lead worker team leader or supervisory role; or two (2) years of experience at the lower level Social Svcs Prgm Consultant 2 (SSP041) or position equivalent.

Equal Employment Opportunity Employer

The State of Georgia does not discriminate based on race color national origin sex religion age disability or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.

Required Experience:

IC