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Enrollment Specialist

3 months ago

Aurora, United States Metro Community Provider Network Full time
Job Details

Job Location
Hampden & Chambers - Aurora, CO

Position Type
Full Time

Salary Range
$20.00 - $22.00 Hourly

Job Shift
FTE 1.0

Description

STRIDE Community Health Center is a 501(c)(3) Federally Qualified Health Center (FQHC) with a 30-year history of providing primary care and other health-related services in a community-based setting. Established in 1989 in response to the primary health care needs of the medically indigent population in suburban Denver, STRIDE Community Health Center has one of the largest population bases of any FQHC in Colorado and provides primary care, dental, pharmacy, behavioral health, health education, care coordination, patient navigation, pharmacy, and outreach and enrollment services in accordance with its mission.

What will you be doing in this role? A successful Enrollment Specialist candidate will:

General Purpose: STRIDE offers a wide variety of medical assistance programs for patients including: Medicaid, Child Health Plan +, Medicare Savings, Title X, RWG, SDP, STRIDE Discount and Connect for Health Colorado. Under general supervision of the Program Enrollment Manger, the Enrollment Specialist performs a variety of registration and financial screening functions with the objective of determining eligibility for medical coverage under the terms of various health care assistance programs. The Enrollment Specialist adheres to the spirit of the STRIDE mission statement while performing assigned duties. Demonstrates compassion and respect towards all applicants and staff.

Essential Duties/Responsibilities:
  • Researches and verifies patient eligibility for different programs and insurance coverage
  • Registers and interviews patients to obtain accurate and complete demographic and financial information.
  • Informs patients about the availability of governmental funded and discount programs.
  • Properly completes enrollment applications through electronic and manual systems.
  • Provides case management services for individuals and families on public insurance. Completes redeterminations and SEP reporting.
  • Responsible for identifying and correcting enrollment discrepancies.
  • Ensure the protection and security of personal, confidential, and identifiable information in a professional and responsible manner and carry out all measures to prevent any unauthorized disclosures.
  • Maintain knowledge and expertise in program eligibility, enrollment, and program specifications of Medicaid, Child Health Plan +, Medicare Savings, Title X, RWG, SDP, STRIDE Discount and Connect for Health Colorado.
  • Understand, interpret and communicate federal, state and eligibility criteria, policies and procedures.
  • Works collaboratively with the Patient Accounts team to ensure timely account adjustments.
  • Records and communicates the outcome of the screening to the patient.
  • Reviews and completes monthly pending and self pay reports to close out any outstanding tickets in patient accounts.
  • Provides excellent customer service to patients and employees.
  • Contribute to the daily workflow with regular and punctual attendance.
  • Perform related or other assigned duties as required or directed.
  • Must maintain an accuracy rate of 90% on each program audit.
  • Performance is a direct results of audits which is based on productivity and quality
Non-Essential Duties/Responsibilities
  • Attends meetings as required.
  • Evening and weekend hours are required.
  • Although you will be assigned to a home clinic, you may also be required to work at other clinics within STRIDEs service area.
We Offer $20.00-$22.00 hourly including:
  • Medical, Dental, and Optional Vision Insurance.
  • Paid-Time-Off (PTO).
  • Company Paid Life Insurance.
  • A 401K retirement savings plan & match
  • Flexible Spending Account (FSA) and Dependent Care options.
  • And more
Qualifications

A successful candidate will possess the following education or formal training:

Education or Formal Training: High school diploma or GED required. Bilingual in English/Spanish is a requirement for this position.

A successful candidate will possess experience:.

Experience: Experience working in an office setting or clinical setting preferred. Knowledge of the health and human services infrastructure, health insurance programs and public coverage options.

Knowledge, skill and ability:
  • Ability to interact positively and build rapport with patients, coworkers and external agency contacts.
  • Ability to work independently and organize work in a manner that ensures accuracy and efficiency.
  • Ability to work from procedure manuals.
  • Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population.
  • Customer service skills, including the ability to diffuse upset patients.
  • Basic math skills required; a basic understanding of accounting helpful.
  • Skill in using a variety of computer software including but not limited to the internetand MS Office Products.
  • Must be able to travel with use of personal vehicle.
  • Must possess the ability to read and interpret documents.
  • Must possess the ability to write routine reports and correspondence.
  • Must possess the ability to interact respectfully with diverse cultural and socio-economic populations.

Material and equipment directly used: Computer, printer, multi-line telephone systems, fax machine, copy machine, calculator, electronic health record and all Microsoft Office products including Outlook, Excel and the internet.

Working environment/physical activities: Work is performed in an office environment within a clinical setting. Duties will require travel throughout the organizations service area. Travel expenses will be reimbursed based on STRIDEs mileage reimbursement policy. Enters data into computer programs via computer, mouse and keyboard. Moves about the office environment and occasionally to other locations. Communicates information to others. Discerns/analyzes information from others to assist in decision making.

A successful candidate will live STRIDE ICARE values:

Integrity doing the right thing even when no one is watching.

Compassion meeting the patient where they're at with empathy.

Accountability doing what we say were going to do.

Respect showing attention to human dignity.

Excellence having a growth mindset; striving to learn more and practice continuous improvement.

Join Us. Together We Improve lives.

Stride conducts a background check, including criminal history, education, license, and certification.

Stride recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our organization. Stride is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, genetic information or veteran status. Stride does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

In an aim to help keep our patients, staff, and communities safe, STRIDE requires that all hired employees be fully COVID-19 vaccinated and to obtain an annual flu shot. STRIDE CHC employees are also required to be screened for tuberculosis and to complete a PPD test.