Enrollment Specialist

STRIDE Community Health Center•Aurora, CO

2d•$20 - $22•Onsite

About The Position

At STRIDE Community Health Center, the Enrollment Specialist performs registration and financial screening functions under the general supervision of the Program Enrollment Manager. The role determines patient eligibility for medical coverage through programs including Medicaid, Child Health Plan +, Medicare Savings, Title X, RWG, SDP, STRIDE Discount, and Connect for Health Colorado. The specialist interviews patients, gathers demographic and financial information, completes enrollment applications, provides case management for public insurance, and communicates screening outcomes. The role requires compassionate, respectful service and protection of confidential information. The position works collaboratively with Patient Accounts, maintains expertise in program eligibility and applicable policies, corrects enrollment discrepancies, and reviews reports and pending cases. The role is assigned to a home clinic but may require travel to other clinics in STRIDE's service area. The work is performed in an office within a clinical setting and includes computer-based data entry and communication with patients and colleagues.

Requirements

High school diploma or GED.
Bilingual in English and Spanish.
Must have or obtain BLS/CPR within 60 days of hire.
Ability to interact positively and build rapport with patients, coworkers, and external agency contacts.
Ability to work independently and organize work to ensure accuracy and efficiency.
Ability to work from procedure manuals.
Ability to respond effectively and sensitively to the needs and concerns of STRIDE's diverse patient population.
Customer service skills, including the ability to diffuse upset patients.
Basic math skills.
Skill using computer software, including the internet and Microsoft Office products.
Must be able to travel using a personal vehicle.
Ability to read and interpret documents and write routine reports and correspondence.
Ability to interact respectfully with diverse cultural and socioeconomic populations.

Nice To Haves

Experience working in an office or clinical setting.
Knowledge of the health and human services infrastructure, health insurance programs, and public coverage options.
Basic understanding of accounting.

Responsibilities

Research and verify patient eligibility for programs and insurance coverage.
Register and interview patients to obtain accurate demographic and financial information.
Inform patients about governmental funded and discount programs.
Complete enrollment applications through electronic and manual systems.
Provide case management for individuals and families on public insurance, including redeterminations and SEP reporting.
Identify and correct enrollment discrepancies.
Protect personal, confidential, and identifiable information and prevent unauthorized disclosures.
Maintain knowledge of eligibility, enrollment, and program specifications for applicable assistance programs.
Understand, interpret, and communicate federal and state eligibility criteria, policies, and procedures.
Collaborate with the Patient Accounts team to ensure timely account adjustments.
Record and communicate screening outcomes to patients.
Review and complete monthly pending and self-pay reports and close outstanding patient-account tickets.
Provide excellent customer service to patients and employees.
Contribute to daily workflow through regular and punctual attendance.
Perform related duties as assigned or directed.
Maintain an accuracy rate of 90% on each program audit.
Attend meetings as required.
Travel to other clinics within STRIDE's service area when required.

Benefits

Medical, dental, and vision coverage.
Paid time off and holidays.
Health Savings Account and Flexible Spending Account, including dependent care options.
401(k) with matching.
Work-life balance.
NHSC Loan Repayment.
Tuition reimbursement and/or Continuing Medical Education.
Employee Assistance Program.
Employee discounts on attractions, hotels, and more.
Travel expenses reimbursed under STRIDE's mileage reimbursement policy.