Enrollment Specialist
About The Position
With a Quality, Customer First, and Compassionate approach, The Financial Screening Enrollment Specialist will complete patient interviews for financial programs, determine eligibility for services and method of payment (i.e., Medicaid, Medicare), complete financial verification, receive copies of financial documentation, complete patient registration forms, verify address and financial income information, and create patient registration and account files through data entry on the computer system. The specialist will follow-up with presumptive eligibility, approvals and denials process and pending Medicaid by maintaining logs, and submit Medicaid applications for presumptive eligibility for baby care and kid care within five days. They will start new patient medical records with all required forms, demonstrate knowledge of programs offered by Sunrise Community Health Center, explain the services available, charging and billing policies, and patient rights and obligations. Additionally, they will counsel patients about the availability and utilization of community and county agencies for financial assistance and make referrals as appropriate, provide ongoing eligibility review for established patients, re-screen patients and update family information status as needed, and determine and explain eligibility status for financial and federal grants. The role assures compliance with all funding sources, including state, city, county, and federal regulations, and treats all patients with respect and courtesy, respecting patients’ rights to confidentiality and working cooperatively with other members of the staff. The specialist will assure patient needs are being properly addressed through scheduling, assist walk-in patients, place reminder calls to patients for scheduled appointments, provide excellent customer service for patients, practice confidentiality and privacy protocols in accordance with clinic policies and HIPAA requirements, distribute patient surveys according to guidelines, assist the team to maintain proper clinic flow, check in patients, collect co-pays, and counsel patients on account balances, verify other primary insurance, and assist/offer Voter Registration. Travel to other Clinics, as needed.
Requirements
- High School Diploma/ GED
- 1 year experience in third party billing, state funded programs, payer source and billing procedures.
- 2 years of clerical experience and / or training, preferably in a clinical environment or the equivalent combination of education and / or experience.
- Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) Vaccine is required for ALL staff. COVID vaccine is highly encouraged.
Nice To Haves
- Bilingual English / Spanish Preferred
Responsibilities
- Complete patient interviews for financial programs.
- Determine eligibility for services and method of payment (i.e., Medicaid, Medicare).
- Complete financial verification, receive copies of financial documentation.
- Complete patient registration forms, verify address and financial income information, and create patient registration and account files through data entry on the computer system.
- Follow-up with presumptive eligibility, approvals and denials process and pending Medicaid by maintaining logs.
- Submit Medicaid applications for presumptive eligibility for baby care and kid care within five days.
- Start new patient medical records with all required forms.
- Demonstrate knowledge of programs offered by Sunrise Community Health Center.
- Explain the services available, charging and billing policies, and patient rights and obligations.
- Counsel patients about the availability and utilization of community and county agencies for financial assistance and make referrals as appropriate.
- Provide ongoing eligibility review for established patients.
- Re-screen patients and update family information status as needed.
- Determine and explain eligibility status for financial and federal grants.
- Assure compliance with all funding sources, including state, city, county, and federal regulations.
- Treat all patients with respect and courtesy, respect patients’ rights to confidentiality and work cooperatively with other members of the staff.
- Assure patient needs are being properly addressed through scheduling.
- Assist walk-in patients.
- Place reminder calls to patients for scheduled appointments.
- Provide excellent customer service for patients, practice confidentiality and privacy protocols in accordance with clinic policies and HIPAA requirements.
- Distribute patient surveys according to guidelines.
- Assist team to maintain proper clinic flow.
- Check in patients, collect co-pays, and counsel patients on account balances.
- Verify other primary insurance.
- Assist/offer Voter Registration.
- Travel to other Clinics, as needed.
Benefits
- Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, and Sick Leave)
- Medical Insurance
- Dental & Vision Insurance
- Basic Life & AD&D Insurance
- Voluntary Life Insurance
- Long-Term Disability (LTD)
- FSA Medical Flexible Spending Account
- FSA Dependent Care Spending Account
- Employee Assistance Program
- Competitive 401K Plan
- Loan Forgiveness Programs
- Referral Bonus
- Tuition and Training Reimbursement
- Agency Wide Training
- Master Class Subscription
- Employee Recognition Programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
