Bilingual Outreach Counselor - Houston Inner Loop - Job Listing

Essential Duties and Responsibilities:

- Interface with and refer complaints and/or inquiries to the appropriate departments, agencies, advocates, and/or client representatives.

- Maintain updated knowledge of managed care as it relates to client supported programs.

- Meet the established processing guidelines, protocols and contract requirements related to complaint processing and the handling of PHI/PII.

- Assist consumers in enrolling, disenrolling, and transferring into health plans, when appropriate.

- Perform other duties as may be assigned by the Complaint Unit Supervisor and/or Project Management.

- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.

- Conducts outreach, including phone calls, home visits, and community presentations in the field in accordance with project policy and procedures (50% of the time). Solely responsible for a specific geographic area and related tasks for that area. Travels independently using proper safety precautions.

- Conducts one-on-one and group outreach presentations to recipients and community members within a specific territory or initiative. The work environment varies and is mobile.

- Presents program education and enrollment options to recipients to encourage recipient action. Presents managed care options to recipients and assists them in using their health care and dental plans and community resources as needed.

- Identifies, develops, builds, and maintains positive relationships with county staff, state agencies, and community/faith-based groups to enhance presence in the community.

- Retrieves, researches, and analyzes data from multiple databases to answer client concerns and completes direct data entry into designated internal automated systems in accordance with EB Project policies and procedures.

- Identifies issues, problem-solves, and escalates unresolved issues and concerns to management immediately and regularly.

- Establishes and maintains knowledge of the community and participates in community events, health fairs, and other activities as needed.

- Multi-tasks in several computer applications at once while holding a conversation with client.

-Responsible for documenting activity in automated systems and reporting outcomes on a daily/ weekly basis.

- Responsible for ensuring confidentiality of client information.

- Uses customer service skills to adapt to situations and deal with clients face-to-face.

- Willingness to work a flexible schedule including weekends and evenings.

- Assists other Outreach Counselors and other team members with management and completion of daily duties to ensure compliance with contract standards and requirements.

- May be required to wear personal protective equipment (PPE) when having client in-person interaction for precautionary measures

- Provide customer service inbound support via telephone when needed to assist the EB Call Center department

- Performs other duties as may be assigned by management

Minimum Requirements

- High school diploma or GED required and 1+ years of relevant professional experience required, or equivalent combination of education and experience.
- Must be fluent in English and specified secondary language.

- Handles more complex customer service inquiries and problems via telephone, recording consistent problem areas.

- May respond to email inquiries.

- Customer service is the primary function.

- Calls are non-routine and require deviation from standard screens, scripts, and procedures.

- Handles situations which may require adaptation of response or extensive research according to customer response.

- Uses computerized system for tracking, information gathering, and/or troubleshooting.

- May handle escalated or unresolved calls from less experienced representatives.

- Works on assignments that are moderately difficult, requiring judgement in resolving issues.

- Understands implications of work and makes recommendations for solutions.

Program Specific Requirements:

- Bilingual fluency in Spanish Required

- Required to travel within the region assigned

- High School diploma, GED, or equivalent certification

- DSHS Community Health Worker certification preferred.

- One year of human services experience or experience dealing with the public.

- Proficient in Microsoft Office products.

- Knowledge of Excel required.

- Ability to work with customers in a caring and respectful manner and with due understanding of and consideration for their unique circumstances.

- Excellent organizational, written, and verbal communication skills.

- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.

- Ability to work as a team member, as well as independently.

- Must be able to remain in a stationary position for an extended period of time.

- Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds.

- Work is often performed conducting home visits, presentations, and part in an office environment.

- Reliable transportation with proper insurance and a Texas Driver’s License that meets the State of Texas requirements.

- Medicaid knowledge preferred

#HealthTexas #LI-Remote

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Accommodations

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccom@maximus.com.