Outreach Counselor – Tarrant County (Haltom City, Euless, Bedford, Hurst, North Richlands Hills) NEW

Maximus is looking for an Outreach Counselor to support the North Tarrant County (Haltom City, Euless, Bedford, Hurst, North Richlands Hills). 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. As an Outreach Counselor, you will utilize excellent in-depth knowledge of enrollment requirements, program information, and policies. You’ll also identify, develop, and build relationships with community, state, and faith-based organizations to enhance our presence in the community.

Bilingual – Spanish skills are preferred for this role but not required.

Please note- since this position requires local travel, it is critical that your application includes your up-to-date address as preference will be given to applicants who reside within reasonable commutable distance of the area served

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
– Respond to complex customer, consumer, or stakeholder inquiries via telephone, email, in person interactions, or system based workflows, providing accurate and unbiased information regarding eligibility, enrollment, managed care, waiver programs, and supported services.
– Conduct intake activities and facilitate eligibility determination processes for applicants, including providing assistance from initial identification through enrollment or termination from the process.
– Present and explain program concepts, including waiver programs, managed care options, and participant rights and responsibilities.
– Assist consumers with application submission, data entry, and investigation of Medicaid eligibility as needed.
– Support consumers in selecting appropriate service options or coordinators while ensuring consumer choice and control are maintained.
– Manage and resolve complex or escalated enrollment, eligibility, complaint, or customer service cases in accordance with established procedures.
– Serve as a subject matter expert for internal escalations and special projects, utilizing specialized data sources, tools, and processes to complete assigned tasks.
– Research case history, compare documentation (including income or eligibility materials), and perform detailed analysis to verify accuracy and compliance.
– Conduct outbound contact, as needed, to obtain corrections, clarification, or supporting documentation required to resolve cases.
– Interface with internal teams, health plans, community partners, advocates, agencies, providers, and other stakeholders to coordinate resolution and support consumer needs.
– Foster and maintain effective working relationships with parties serving shared consumers, including physicians, assistance offices, providers, and care facilities.
– Identify stalled or problematic cases, provide additional attention or intervention, and escalate issues appropriately to ensure timely resolution.
– Track and document customer interactions, research activities, escalations, and outcomes in applicable systems.
– Anticipate recurring issues or trends and communicate findings to management for resolution or process improvement.
– Participate in special projects or initiatives as directed by supervisors or project leadership.
– Meet established productivity, quality, and performance standards as defined by program requirements.
– Maintain confidentiality and security of protected health and personal information in accordance with policy and contractual obligations.
– Perform other related duties as assigned by management.