Enrollment Coordinator

Harbor Community ClinicLos Angeles, CA
1d

About The Position

The Enrollment Coordinator will assist patients to enroll and maintain enrollment into health Insurance and subsidy programs and to anchor patients to Harbor Community Health Centers (HarborCHC). The Enrollment Coordinator is expected to adhere to all of HarborCHC's standards and values and to carry out all duties and responsibilities according to the organization's policies and procedures.

Requirements

  • High school diploma or equivalent
  • Verbal and written fluency in English and Spanish
  • At least 2 year’s experience of substantial work experience in the target community providing customer/patient services in healthcare setting
  • Current Basic Life Support (BLS) Certification by the American Heart Association
  • Excellent customer service skills
  • Must have proficient computer skills including Microsoft Office abilities, with intermediate Excel skills
  • Interest and commitment toward improving community health
  • Strong communication and organizational skills
  • Committed to providing an exceptional experience in all interactions
  • Professional among co-workers, community partners
  • Culturally/Linguistically sensitive when speaking to target population
  • Basic knowledge of insurance enrollment requirements, including Medi-Cal, Covered CA and Medicare
  • Ability to understand and manage patient appointment schedules in order to optimize patient flow and provider/staff productivity.
  • Must have strong analytical and problem solving skills
  • Must have the willingness and ability to adapt to change including advances in technology
  • Ability to handle multiple tasks and be highly organized and detail-oriented, data reporting, emails, etc
  • Proactive mentality, ability to ask questions when things aren’t clear, present creative ideas
  • Committed to the mission of HarborCHC

Nice To Haves

  • Experience at Federally Qualified Health Center preferred
  • Experience with electronic health records (EHR), eClinicalWorks preferred
  • Familiarity with San Pedro/surrounding areas
  • Communication/Public Speaking-verbal and writing skills
  • Be a team player

Responsibilities

  • Complete a comprehensive benefits and qualified health insurance assessment for each client to determine eligibility in various health programs and/or public benefits such as Covered CA, Medi­ cal, Medicare, Calfresh, and HarborCHC's Sliding Fee Discount Program (SFS).
  • Promote HarborCHC services to community members in need of a medical home.
  • Help patients and community member’s complete and submit applications for programs and benefits for which they qualify.
  • Submit enrollment applications and all related information into designated program platforms such as Covered CA and/or Benefits Cal.
  • Conduct timely follow ups to verify the status of enrollment applications and clients experiencing enrollment issues.
  • Assist patients and community members to select a health plan based on their needs via Health Care Options, or other applicable program platforms.
  • Contribute to the retention of existing patients by providing insurance renewal services to avoid gaps in coverage continue and to maintain HarborCHC as their assigned medical home.
  • Ensure timely, accurate, and detailed documentation in HarborCHC's EHR, eClinicalWorks (ECW), for all enrollment assistance provided to each individual and/or families
  • Maintain program participant files including enrollment documents, records of services accessed, and enrollment verification. Input all participant enrollment information into designated spreadsheet on a daily basis for tracking purposes.
  • Work with other staff to make sure that patients and community members who received enrollment assistance are assigned to HarborCHC and attend initial IHA appointments.
  • Adhere to all policies and requirements as set forth by Medi-Cal, Covered CA, LA County and other applicable programs.
  • Provide a monthly enrollment assistance report to Supervisor. Report includes all client/patient appointments that received assistance, type of assistance provided, progress made, and an overall quantitative measurement of enrollment numbers reached to assess productivity.
  • Perform other duties as assigned to support HarborCHC's Mission and Values.
  • Maintains appropriate and accurate log of patients assisted, including: 1. Patient name and unique identifier (e.g., chart number or program ID) 2. Type of enrollment assistance provided 3. Type of health plan or program enrolled in 4. Application submission date 5. Status of application 6. Other activities, including follow-up phone calls or updates
  • Keeps all patient paperwork/documents in an organized manner to avoid repeated visits
  • Maintains or submits required reports to his/her supervisor
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