Maximus, Outreach Counselor Dallas County - via

Position: Maximus, Outreach Counselor - (Dallas County) - Application via WayUp
Maximus, Outreach Counselor - (Dallas County) - Application via Way Up

Join to apply for the Maximus, Outreach Counselor - (Dallas County) - Application via Way Up role at Way Up

Maximus, Outreach Counselor - (Dallas County) - Application via Way Up

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Description & Requirements

Maximus is looking for an Outreach Counselor (Dallas County), this important position provides effective customer services via telephone and in person to clients and community members regarding the selection, enrollment, and eligibility requirements for various Texas Health and Social Services Programs by utilizing excellent, in-depth knowledge of enrollment requirements program information and policies. Identifies, develops, and builds relationships with community, state, and faith-based organizations to enhance presence in the community.

• Why Join Maximus?

 Competitive Compensation   Quarterly bonuses based on performance included!

 Comprehensive Insurance Coverage   Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.

 Future Planning   Prepare for retirement with our 401K Retirement Savings plan and Company Matching.

 Paid Time Off Package   Enjoy PTO, Holidays, and sick leave.

 Holistic Wellness Support   Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

 Recognition Platform   Acknowledge and appreciate outstanding employee contributions.

 Tuition Reimbursement   Invest in your ongoing education and development.

 Employee Perks and Discounts   Additional benefits and discounts exclusively for employees.

Essential Duties and Responsibilities:

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

 Stay updated on managed care relevant to supported client programs.

 Adhere to processing guidelines, protocols, and contract requirements for complaint processing and handling PHI/PII.

 Assist consumers in health plan enrollment, disenrollment, and transfers when necessary.

 Fulfill assigned duties directed by the Complaint Unit Supervisor or Project Management.

 Meet performance standards outlined in the annual criteria and bonus template for the position.

 Address complex customer service inquiries and problems over the telephone, noting consistent issues for resolution.

 Potentially respond to email inquiries.

 Prioritize customer service as the primary function, handling non-routine calls requiring deviation from standard procedures.

 Manage situations needing adapted responses or extensive research based on customer needs.

 Utilize computerized systems for tracking, information gathering, and troubleshooting.

 Handle escalated or unresolved calls from less experienced representatives.

 Tackle moderately difficult assignments, exercising judgment in issue resolution and recommending solutions.

 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…