Enrollment Counselor Floater

St Johns Community Health•Gardena, CA

4d•Hybrid

About The Position

The Enrollment Counselor supports patients in gaining and maintaining access to health coverage through education, eligibility screening, and assistance with insurance applications and renewals. This position is primarily focused on ensuring renewals and enrollments are completed efficiently to meet department and organizational goals. The counselor works in a fast-paced environment, maintaining accurate records and coordinating with local, state, and county programs.

Requirements

High School Diploma or GED (required)
Bilingual English/Spanish (Required)
Must have two years CAA experience
Reliable transportation and flexibility to travel between Los Angeles, San Bernardino, and Riverside Counties as needed.
Flexibility to work evenings and weekends as needed for community events.
Maintains personal appearance when interacting with patients, staff and physicians.
Must be able to cope in a “fast pace” environment.
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Synthesize complex or diverse information.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Ability to interpret situations, characteristics, behavior, etc. and respond appropriately.
Knowledge of MS Outlook, MS Excel, MS Word, and Internet software.

Nice To Haves

Certified Application Assistant (CAA Certificate) (Preferred)
Familiar with Covered CA, Medi-Cal, Medi-Cal for Families
EHR- Electronic Health Record experience (Preferred)
PMS- Practice Management System experience (Preferred)
Electronic Health Records experience preferred.

Responsibilities

Assists patients in completing applications and forms for private insurance, Med-Cal, as well as other County or State health insurance programs.
Assist patients with completing applications and forms for Medi-Cal, private insurance, and other county/state health programs.
Screen patients for insurance eligibility and provide guidance on available programs and benefits.
Conduct renewals for Medi-Cal and other programs on an annual or required basis to retain coverage.
Track enrollment progress and follow up promptly on pending applications or issues.
Educate patients on financial assistance, sliding fee scales, documentation requirements, and program eligibility.
Participate in community outreach and enrollment activities as needed.
Collaborate with clinicians and administrative staff to identify patients who may qualify for financial assistance.
Maintain accurate documentation in EHR and PMS systems, including prescriptions, patient charts, and communication logs.
Complete reports including productivity, Medi-Cal, PCP changes, and other compliance-related reporting.
Attend trainings (e.g., CHAMP-Net) and meetings as directed to stay current on program updates.
Provide professional, empathetic service to all patients, including those who may not qualify for coverage.
Demonstrate understanding of organizational policies and procedures and maintain confidentiality in accordance with HIPAA.
Actively support assigned team/department by participating in and supporting all team/departmental initiatives, proactively communicating with supervision, meeting assigned goals and objectives, and committing to embracing process improvement initiatives.
Actively support SJCH by consistently meeting St. John’s Mission, Vision, and Values; modeling positive interactions with patients, staff, and community; keeping informed of internal (e.g., policies and procedures) and external (e.g., legal or political matters) which may affect business.
Additional Duties – as assigned.