Enrollment Specialist II

Denver Health•Denver, CO

1d•$24 - $31

About The Position

We are recruiting for a mission-driven Enrollment Specialist II to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department DH ID/AIDS SERVICES PAV L Job Summary Under general supervision, determines medical assistance eligibility for customers in hospital outpatient/ inpatient, and emergency settings, as well as face-to-face and in a call center environment. Enrollment Specialists assist patients/clients with submitting/processing documentation to complete applications and forms for various medical assistance programs (including Medicaid and Hospital Discount Programs). Collaborate directly with both internal and external partners such as State entities, other departments and community organizations. Complete accurate data entry into multiple Federal, State and internal systems. Essential Functions: Program Eligibility and Enrollment: • Interacts with customers to determine living and financial situation, calculates applicable income and assets, and determines eligibility for appropriate medical assistance programs. • Clearly explains the various medical assistance programs to patients/clients and assists them in completing the necessary forms to apply for such programs. • Identifies, researches, and resolves complex problems related to eligibility determinations for various medical assistance programs - including Medicaid and Hospital Discount Programs. • Required to use federal and state Interfaces to verify information provided by customer. • Required to meet productivity standards for processing times. • Will be required to collect and process documents over the phone and/or in-person. (70%) Case Maintenance for Medicaid and Other Programs: • Effectively and accurately follows established work procedures and guidelines to be efficient in the Medicaid case maintenance and redetermination processes. Includes application completion, collection of all documentation, data entry into CBMS, including detailed case comments. • May receive, process, and verify Medicaid Buy-In premium payments. (25%) Collects data utilizing various tracking tools that have been developed to monitor performance. (5%)

Requirements

High School Diploma or GED Required
1-3 years
1 year Customer Service experience required
Knowledge of medical and/or public assistance programs including Medicaid, CHP+, Sliding Fee Program and Connect of Health Colorado health plans.
Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies.
Knowledge of the eligibility determination system CBMS, Epic, Salesforce, Five9 systems.
Proficient in Microsoft Word, Excel, and Outlook.
Skilled in analytical thinking, problem solving, and process improvement.
Skilled in providing excellent customer service.
Ability to communicate orally and in writing in a thorough, clear, and professional manner.
Ability to simultaneously coordinate and manage several functions, programs, and tasks in various stages of completion.
Ability to consistently implement program, department and organizational policies and procedures.
Ability to work efficiently both independently and in a team environment.
Ability to treat all individuals with courtesy, dignity, empathy, and respect; consistently displays courteous and respectful verbal and non-verbal communications.

Responsibilities

Interacts with customers to determine living and financial situation, calculates applicable income and assets, and determines eligibility for appropriate medical assistance programs.
Clearly explains the various medical assistance programs to patients/clients and assists them in completing the necessary forms to apply for such programs.
Identifies, researches, and resolves complex problems related to eligibility determinations for various medical assistance programs - including Medicaid and Hospital Discount Programs.
Required to use federal and state Interfaces to verify information provided by customer.
Required to meet productivity standards for processing times.
Will be required to collect and process documents over the phone and/or in-person.
Effectively and accurately follows established work procedures and guidelines to be efficient in the Medicaid case maintenance and redetermination processes. Includes application completion, collection of all documentation, data entry into CBMS, including detailed case comments.
May receive, process, and verify Medicaid Buy-In premium payments.
Collects data utilizing various tracking tools that have been developed to monitor performance.

Benefits

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer