Enrollment Specialist

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Introduction Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the U.S. health care system requires simultaneous pursuit of three aims: 1) improving the experience of care, 2) improving the health of populations, and 3) reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population. Summary The Enrollment Specialist will provide assistance with health insurance enrollment and Cal Fresh to patients. They will also assist with any questions the patient may have regarding the insurances accepted at the clinic. The Enrollment Specialist will make follow-up calls to patients if they are missing any information in their application and will ensure to input all patient information into the Electronic Health Records. Must currently be or willing to become an Enrollment Specialist to assist patients with insurance enrollment. Essential Duties and Responsibilities Provides patients with educational information on managed care both in the clinic and in the community, formally or informally. Screens patients to identify enrollment eligibility schedules appointments for initial enrollment. Enroll patients in Covered California marketplace. Retention list: Contact cash patients and screen them and also disenrolled members, identifying the reasons for disenrollment, assisting with re-enrollment. Enroll patients into Cal‑Fresh or assist with Cal‑Fresh renewals. Assist patients to submit health options and medical choice forms. Call health plan for Primary Care Physician (PCP) changes. Educate and advise patients on available insurance and plans. Provide assistance to patients for transportation through their health insurance and translating services. Conduct outreach to increase the patient's roster. Submit weekly reports regarding enrollments completed. Assist patients with available resources regarding housing and/or employment in an effort to meet their specific needs. Performs other related duties as assigned. Qualification Requirements To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience High School Diploma or equivalent. CAA (Certified Application Assistant) Certification required. If the incumbent has no current CAA certification, it must be obtained within 6 months of hire. One year experience in a medical office is preferred. CPR Certification preferred. Knowledge, Skills, and Abilities Ability to communicate effectively in both written and verbal form to patients, public, medical staff, and physicians. Must be or willing to become a Certified Enrollment Counselor. Knowledge of Electronic Health Records. Knowledge about health insurances. Excellent organizational skills and attention to detail. Ability to work independently and possess strong time management skills. Confidentiality Maintains patient, employee, and Foundation confidentiality at all times, discussing patient or employee business only with appropriate parties who have a bona fide need to know; and communicating only the minimum amount of information necessary with respect to protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). #J-18808-Ljbffr