Enrollment Specialist

4 weeks ago

Boston, United States Fenway Health Full time
Job Description Job Description Description: Under the supervision of the Director of Patient and Financial Services, the Enrollment Specialist is responsible for the registration and documentation of patients eligible for financial assistance, and the provision of excellent customer service.Representative DutiesRegister, Document, and Maintain Patients Eligible for Financial AssistanceMeet with uninsured clients for financial assistance assessment as part of first appointment for serviceMeet with HIV clients for financial assistance/planning/assessmentComplete assessment, determine eligibility, identify best source of assistance, assist client with necessary forms and documentation, and determine level of financial assistanceEnter all client information into system: 1) Financial Assistance source - FreeCare, ACT NOW, CenterCare, Sliding Fee Schedule (Fee Agreements), Ryan White CARE Act Title 1Assist clients with coverage problems/questions regarding theses programsWork with appropriate FCHC staff regarding overdue accounts to determine eligibility for financial assistance prior to bad debt considerationWork closely with the Medical Social Workers and other staff in developing patient financial assistance plansImplement system for 'early intervention' with overdue accounts to develop payment plan and/or identify available financial assistanceWork with appropriate FCHC staff to ensure the adherence to state guidelines concerning un-collectible balances for accounts under the Financial Assistance ProgramFollow up with clients to ensure theyve scheduled and followed through with medical appointments Assist with any problems/issues that may ariseAccurately set up referrals for managed care patients and inform provider in a timely mannerGreet each client with a smile and a welcoming, professional mannerAnswer each phone call in a cheerful and professional mannerGive patients clear directions to the relevant waiting area and clear instructions to wait there to be calledProvide clients with correct and accurate information regarding FCHC services and providersAsk for input from team colleagues if unsure of correct response to inquiriesRefer unusual or difficult situations to supervisorRefer managed care inquiries to appropriate medical staff memberActively build good working relationships with colleagues and providersEducate patients, providers and staff to the various managed care programsEducate patients toward proactive use of managed care companies and referral authorization processInform providers and /or patients of plan changesTranscribe letters of introduction to referring doctors, employers and related services provided for patientsMonitor and update managed care member listings and verify membership eligibilityTransfer plan updates in provider book to replace obsolete informationUpdate specialty provider office or admin changes in rolodex and/or provider manualMeet with plan representative to learn updates or pertinent referral informationProvide excellent customer serviceGreet each client with a smile and a welcoming, professional mannerAnswer each phone call in a cheerful and professional mannerGive patients clear directions to the relevant waiting area and clear instructions to wait there to be calledProvide clients with correct and accurate information regarding FCHC services and providersAsk for input from team colleagues if unsure of correct response to inquiriesRefer unusual or difficult situations to supervisorRefer managed care inquiries to appropriate medical staff memberActively build good working relationships with colleagues and providersMeets agency participatory expectationAdheres to all agency and departmental policies and proceduresParticipates in quality assessment and improvement activities as requestedAdheres to the highest principles of client confidentialityAdheres to established safety policies, procedures and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationAttends all required meetings, in-services and professional trainings Maintains professional competence necessary to perform job responsibilities; maintains and provides agency with records of continuing education activitiesServes on agency committees and in professional organizations when requestedPerforms other related duties as requestedRequirements: Strong computer experienceCalm, flexible and understanding mannerAbility to work harmoniously and effectively with colleagues, patients, clients and vendors across the spectrum of diversity, including but not limited to race, ethnicity, color, gender identity, sexual orientation, age, socio-economic status, national origin and immigrant status, religious or spiritual identity, disability (physical, mental, emotional and developmental), veteran status, and/or limited English proficiency.Willingness to contribute towards Fenways efforts in becoming an anti-racist organization and promoting a culture dedicated to ongoing development in service of humility, equity, diversity, inclusion, and belonging, where differences are acknowledged and valued.Preferred QualificationsBachelors Degree or 3 years of experienceKnowledge of business procedures and health careSuccessful customer service experienceBilingual Spanish/EnglishExperience with EpicPhysical Requirements:Ability to meet the following physical requirements with or without reasonable accommodations:Sit at a computer station for extended periods of timeAbility to keyboard for extended periods of timeWe offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match. We also provide 12 paid holidays, paid vacation, and more.LGBTQIA+ identified persons, Black, Indigenous, and other people of color (BIPOC), and individuals from other historically underrepresented communities are strongly encouraged to apply.#J-18808-Ljbffr

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