Eligibility & Enrollment Supervisor - Bilingual (Spanish & English)

Settlement Health•New York, NY

43d•$54,000•Onsite

About The Position

The Eligibility and Enrollment Supervisor is responsible for interviewing and counseling individuals who are uninsured or underinsured, assisting them to fill out the necessary forms and to secure required accompanying documentation. In addition, maintaining tracking system of applications as well as serving as patient advocates.

Requirements

Associates Required / BA Preferred
Bilingual English/Spanish fluency required
Strong Organization Skills
Proven ability to manage complex tasks and prioritize multiple responsibilities
Strong attention to detail with expertise in managing documentation and follow-up procedures
Ability to interview and counsel patients
Ability to collaborate effectively with state officials
Experience with a Medicaid program is highly desirable
Experience with Electronic Health Records preferred
Computer proficiency is required
Available to work one evening and/or weekend a week when needed

Responsibilities

Educate clients on the different coverages offered through the New York State of Health, helping them to understand the benefits and limitations of their coverage.
Aid with recertification for Medicaid through Human Resources Administration
Assist with Medicaid application completion through the Human Resources for the aged, blind, and disabled.
Provide persons who are interested in becoming Settlement Health Patients with an introduction to Settlement Health’s services and link them to the appropriate department to set up an appointment.
Serve as patient advocate on insurance related matters
Ensure that Eligibility & Enrollment Specialists are attending all scheduled trainings by Settlement Health, New York State Of Health and CMS needs.
Works effectively and efficiently, able to work on several things at once while maintaining expected productivity outcomes. Meets established productivity goals without sacrificing quality.
Understands and meets the needs of external and internal customers. Puts the customer at the center of services, systems, and processes.
Demonstrates a deep understanding of our colleagues, our patients and their loved ones through inclusion, compassion, respect and caring.
Provide follow-up for missed eligibility screening appointments. This includes follow-up by telephone and/or letter. Make appointments for prenatal Medicaid Pre-Screening clients when necessary.
Any other related duties as delegated by supervisor.
Openness and willingness to participate in ongoing job related skills development.
Creates an environment that encourages staff to work together. Identifies issues affecting teamwork and works to resolve them.
Ensure that Eligibility & Enrollment Specialists submit monthly enrollment numbers
Ensures that the Eligibility & Enrollment Specialists are documenting enrollments on medical record systems and updating insurance information.
Works as a part of an assigned care team, defined as – provider, medical assistant, nurse, referral coordinator, with the option of including care manager, nutritionist and behavioral health provider, as indicated. Team based communication is an expectation and should include interaction with support staff (MOAs, Call Center, enabling service providers) to encourage the engagement of the patient as a part of the care team.
Responsible for the daily utilization of the Electronic Medical Record, Athena Practice.
Documentation of patient encounters whether in person or via telephone in the Electronic Medical Record.
Initiate communication and/or follow-up using the EMR flag system to Clinicians, Referral Coordinator, and other Support Staff.
Utilization of appropriate service reports to conduct outreach, tracking and follow-up of patients, with documentation of activities in the Electronic Health Record.
Required to attend trainings and workshops to refresh and improve knowledge of the EMR.
Competency of basic computer skills, to include but not limited to Microsoft Outlook.
Check emails in Microsoft Outlook on a daily basis (minimum).