Enrollment Specialist

Job Description

Job Description

Description:

At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare, we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally Qualified Health Centers, we offer comprehensive services, including primary care, dental, pharmacy, behavioral health, health education, and outreach, across our 13 clinics in the Denver Metro area.

With over 35 years of serving our community, our growing team is at the heart of this mission. We believe healthcare is about more than treating illness; it's about fostering wellness and addressing the unique needs of every person, ensuring that no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives, including your own, STRIDE is the place for you.

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.

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience

• Required: High school diploma or GED.
• Required: Bilingual in English/Spanish.
• Required: Must have or obtain BLS/CPR within 60 days of hire.
• 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 preferred.

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 internet and 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.

At STRIDE Community Health Center, we value a strong and collaborative work environment. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community!

Work Schedule

Monday - Friday, 8:00 AM - 4:30PM

We offer a competitive hourly range of $20.00-$22.00 , depending on your experience.

This range reflects STRIDE’s good faith estimate of potential compensation at the time of posting. The final salary for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty, and training.

Why STRIDE?

Join us for a fulfilling career with a comprehensive full-time benefits package that promotes professional growth, well-being, and financial security, including:

• Medical, dental, and vision coverage
• Paid time off (PTO) and holidays
• Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options
• 401(k) with matching
• Work-life balance
• NHSC Loan Repayment
• Tuition reimbursement and/or Continuing Medical Education (CME)
• No nights, weekends, or major holidays
• Employee Assistance Program (EAP)
• Employee Discounts on top attractions, hotels, more

STRIDE conducts background checks, including criminal history, education, license and certification.

STRIDE is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.

STRIDE complies with the Americans with Disabilities Act, providing reasonable accommodations as needed.

Health and Safety Commitment:

To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Applicants will be considered until the position is filled.