Enrollment Specialist

Central Neighborhood Hlth Fdn•San Bernardino, CA

7d•$0 - $25•Onsite

About The Position

Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the US health care system requires simultaneous pursuit of three aims: 1) improving the experience of care, 2) improving the health of populations, and 3) reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population. The Enrollment Specialist will provide assistance with health insurance enrollment and Cal Fresh to patients. They will also assist with any questions the patient may have in regards to the insurances accepted at the clinic. The Enrollment Specialist will make follow up calls to patients if they are missing any information in their application and will ensure to input all patient information into the Electronic Health Records. Must currently be or willing to become an Enrollment Specialist to assist patients with insurance enrollment.

Requirements

High School Diploma or equivalent.
CAA (Certified Application Assistor) Certification required. If the incumbent has no current CAA certification, it must be obtained within 6 months of hire.
Ability to communicate effectively in both written and verbal form to patients, public, medical staff, and physicians.
Must be or willing to become a Certified Enrollment Counselor.
Knowledge of Electronic Health Records.
Knowledge about health insurances.
Excellent organizational skills and attention to detail.
Ability to work independently and possess strong time management skills.
Punctual and regular attendance is an essential responsibility of each employee at CNHF. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees also are expected to remain at work for their entire work schedule. Late arrival, early departure or other absences from scheduled hours are disruptive and must be avoided.
Maintains patient, employee, and Foundation confidentiality at all times, discussing patient or employee business only with appropriate parties who have a bona fide need to know; and communicating only the minimum amount of information necessary with respect to protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Nice To Haves

One year experience in a medical office is preferred.
CPR Certification preferred.
Bilingual Spanish speaking preferred.

Responsibilities

Provides patients with educational information on manage care both in the clinic and in the community, formally or informally,
Screens patients to Identify enrollment eligibility schedules appointments for initial enrollment.
Enroll patients in Covered California marketplace.
Retention list Contact cash patients and screen them and also disenrolled members, identifying the reasons for disenrollment, assisting with re-enrollment.
Enroll patients into Cal-Fresh or assist with Cal-Fresh renewals -SAR 7
Assist patients to submit health options and medical choice forms.
Call health plan for Primary Care Physician (PCP) changes.
Educate and advise patients on available insurance and plans.
Provide assistance to patients for transportation through their health insurance and translating services.
Conduct outreach to increase the patient's roster.
Submit weekly reports regarding enrollments completed.
Assist patients with available resources regarding housing and/or employment in an effort to meet their specific needs.
Performs other related duties as assigned.