Enrollment Specialist

6 days ago


Bend, Oregon, United States Mosaic Medical Full time
About Mosaic Community Health

Mosaic Community Health is a dynamic and innovative health system that prides itself on providing unique and creative ways to improve patient access to healthcare. With a strong commitment to serving insured and uninsured patients, regardless of age, ethnicity, or income, we strive to make a meaningful difference in the lives of our patients.

Job Summary

The Enrollment Specialist is a critical member of our team, responsible for ensuring that patients have access to the healthcare services they need. This role involves working closely with patients, community partners, and other organizations to provide information and enrollment assistance. The successful candidate will have excellent communication skills, a strong understanding of health insurance plans, and the ability to navigate complex systems.

Key Responsibilities
  • Aid and process state and/or federal applications for insurance coverage for patients and community members.
  • Troubleshoot application questions or concerns from patients and community members.
  • Monitor enrollment reports to identify enrollment assistance needs.
  • Advise patients of their Enrollment status with Medicaid/Medicare and aid as needed.
  • Schedule patients in Enrollment appointments as needed.
  • Create new patient records in EHR.
  • Auditor of patient charts to ensure accurate financial registration.
Requirements
  • Working knowledge of health insurance plans including Medicaid and Medicare.
  • Excellent oral and written communication skills, including effective communication with patients on complex or technical information regarding insurance coverage.
  • Ability to develop and present effective presentations in different location settings and group size.
  • Ability to prepare basic correspondence and simple reports in Microsoft Word and Excel.
  • Ability to create, send and manage email in Outlook.
  • Ability to access and use web-based applications and EMR program.
  • Understanding of healthcare navigation including insurance types, concepts, terminology, billing, and/or regulations required.


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