Enrollment Facilitator Tier 1

Description

Cornerstone Family Healthcare is actively recruiting for an Enrollment Facilitator to join our growing team in Middletown, NY.

RATE OF PAY/SALARY: $21.97 per hour

WORK LOCATION(S): Middletown, NY

STATUS: Full-time

CORNERSTONE’S MISSION:

Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay. For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability.

CORNERSTONE BENEFITS:

Competitive salaries I Health Benefits I Retirement plan I Paid Time Off I Sick Time I Flexible Spending I Dependent Care I Paid Holidays

General Purpose:

Increase access to care through application and enrollment assistance for people who may be eligible for Medicaid, and affordable insurance options via the New York State of Health Marketplace (Affordable Care Act), as well as CFH’s Sliding Fee Scale discount.

Description of Duties:

• Respond to patient requests for assistance with enrollment in CFH sliding fee scale discount, and NYSOH insurance application and enrollment.
• Become educated and maintain expertise in: Insurance Eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable populations; and NY State of Health privacy and security standards.
• Comply with all applicable federal and state training requirements related to the development of expertise in eligibility, enrollment, and program specifications.
• Obtain and maintain knowledge regarding eligibility requirements for CFH sliding fee scale discount program.
• Evaluate appropriateness of patient for sliding fee scale discount and assist CFH patients with applying for the SFS discount.
• Provide information and assistance in a fair, accurate, and impartial manner; that is culturally and linguistically appropriate to diverse communities and accessible to all individuals.
• Provide patient referrals to appropriate CFH departments and community agencies.
• Assist patients in applying for food stamps (SNAP), HEAP, Medicaid, and other social services support by developing a thorough knowledge of community services and their application process.
• Act as liaison with Dept. of Social Services for Medicaid, HEAP and SNAP applications.
• Maintains an effective process for ensuring that all SFS, SNAP, HEAP and health insurance enrollment documentation is filed appropriately in the patients’ electronic record.
• Provide short-term follow-up on patient referrals.
• Maintain complete, accurate and timely record keeping system, to include full documentation and completion of all required forms for medical records.
• Work closely with other CFH staff to ensure that the patient’s needs are met.
• Assist in translation for CFH staff when necessary.
• Be familiar with HIPAA laws and CFH confidentiality policies and ensure full adherence.
• Attend and participate in monthly department, All Staff and other required meetings.
• Maintain confidentiality of all aspects of CFH including, but not limited to, patient confidentiality, financials, and employee relations.
• Must be able and willing to travel as needed, have dependable transportation, a valid driver’s license, and proof of automobile insurance.
• Perform other related duties as assigned.

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Requirements

Education Required:

High School Diploma or equivalent

Experience Required:

• Completion of the mandatory Health Insurance Market Place Training and successfully passing the certification exam to become a Certified Application Counselor (CAC) within 3 months of employment.
• Participate in ongoing staff trainings to maintain CAC certification.
• Bilingual preferred Spanish / English.
• Understanding of the Social Service system.
• Effective verbal and written communication.
• Knowledge of community resources.
• Desire and ability to work closely with low-income population.
• Flexible work hours