Enrollment Representative

PUEBLO COMMUNITY HEALTH CENTER INC • Pueblo, CO

1d • $18 - $26

About The Position

The Outreach and Enrollment Representative will work to provide outreach opportunities for community residents who lack access to healthcare and health insurance, provide enrollment and application follow-up. Increase health insurance coverage and access to quality primary health, dental, and behavioral care for community residents.

Requirements

• Must have a High School Degree or GED
• Two or more years of office and/or customer service experience is required.
• Valid driver’s license and auto insurance as required by law
• Strong ability in the following areas: leadership, advocacy, communication skills both written and verbal, resource research, creative problem solving, and sensitivity/responsiveness to varying cultural characteristics and beliefs.
• Ability to work independently.
• Excellent interpersonal skills
• Essential to have customer service experience including working with people in one-on-one and group settings.
• Essential to have ability to understand verbal information, to exchange verbal information with others, and to present information verbally.
• Ability to explain and summarize detailed concepts like Medicaid enrollment process or essential health benefits in a way the general population can understand.
• Essential to have the ability to read and understand written materials and to compose information/instruction in written form.
• Essential to have the ability to prioritize and be organized.
• Knowledge of organizational policies, procedures, systems, and objectives.
• Essential to be to able reason mathematically and to have analytical and problem solving skills.
• Essential to have computer skills including database utilization, electronic health records systems, and computer systems applications (MS Office).

Nice To Haves

• Experience in a healthcare environment and/or working with programs and services intended for low-income, underserved populations preferred.
• An equivalent combination of post-secondary education and experience may be considered.
• Conversational Spanish preferred.

Responsibilities

• Participate in training and educational opportunities related to the Affordable Care Act. Marketplace, CHP+, and Medicaid enrollment standards and competencies.
• Demonstrate and maintain expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable population; and privacy and security standards.
• Demonstrate the capacity to conduct “in reach” with currently uninsured health center patients and “outreach” to non-health center patients who access healthcare in Pueblo.
• Ensure the functions and activities of the Outreach and Enrollment department and embrace the philosophy, mission, and values of the Board of Directors of Pueblo Community Health Center, Inc (PCHC).
• Adhere to the guidelines and procedures of PCHC.
• Schedule patient registration appointments.
• Register patients to PCHC on the correct insurance programs or medical discount programs.
• Determine eligibility for CICP, Family and Adult Medicaid, and CHP+ Programs.
• Uphold CICP, CHP+, and Family and Adult Medicaid rules and regulations.
• Uphold Medicaid and CHP+ Presumptive Eligibility (PE) rules and regulations.
• Assist patients in accessing the medical system.
• Inform patients of PCHC’s guidelines for using medical and dental services.
• Maintain patient records to meet audit requirements for CICP, primary audit and PE.
• Maintain departmental statistics as directed.
• Participate in departmental training as required. Training may include training new Outreach and Enrollment Representatives for the department.
• Must be able to keep up with and maintain the walk-in registration policies and policies regarding patient discharge policies.
• Participate in departmental and General Staff Meetings.
• Perform other related duties as assigned.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Long-Term Disability Insurance
• Short-Term Disability Insurance
• Life Insurance
• 403(b) Tax-Sheltered Annuity Plan
• Cafeteria 125 Flexible Spending Account
• supplemental insurances
• generous paid time off benefits including holidays and personal time off (PTO).
• The organization also contributes to the employee’s tax-sheltered annuity plan after one year of service.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED