Enrollment Specialist

OLE Health • Fairfield, CA

12h • $27 - $34 • Onsite

About The Position

The Enrollment Specialist welcomes new and existing community members and facilitates access to affordable, quality health care. The role helps patients determine eligibility for health coverage programs and plans, supports enrollment and renewal processes, and connects patients with financial and community resources. The specialist works with patients, clinic departments, county eligibility representatives, and community partners to help people obtain and maintain coverage.

The position is based in West Fairfield, California, and is full-time, Monday through Friday, for 40 hours per week. It is a nonexempt, hourly position paying $27.42 to $33.51 per hour. The role may also require work on weekends and evenings, attendance at community events, and travel between sites using the employee’s own transportation.

OLE Health is a network of federally qualified health centers serving Napa, Solano, and Yolo Counties. Its services include medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance. OLE Health describes its workplace as inclusive and values diversity and life experience.

Requirements

• College degree, or a high school diploma with two years of related work experience.
• Two years of directly related experience in a social service agency, health care organization, or medical office.
• Spanish and English proficiency for telephone and face-to-face communication.
• Customer service skills in a health care setting.
• Excellent computer skills, including efficient use of Microsoft Office software.
• Active listening and problem-solving ability.
• Excellent organizational skills and acute attention to detail.
• Ability to work flexibly and enthusiastically amid changing priorities.
• Strong interpersonal skills and ability to understand and follow written and verbal instructions.
• Ability to work independently with little or no supervision.
• Ability to work effectively with diverse individuals at all organizational levels and with external customers.
• Ability to operate office equipment, including computers and copiers.
• Ability to sit or stand for long periods, with occasional walking.
• Ability to bend, lift, and carry up to 25 pounds, and to load, unload, set up, and take down outreach equipment, including canopies and folding tables.
• Availability to work weekends and evenings.
• Ability to provide personal transportation to different sites.

Nice To Haves

• Data collection and analysis experience.

Responsibilities

• Welcome patients, assess their needs, and provide a positive customer service experience.
• Assess patient needs and ask appropriate questions to gather information for enrollment assistance.
• Help patients and families complete and submit health insurance applications, including gathering required documents, in coordination with county eligibility representatives.
• Advocate with out-stationed county eligibility workers to help patients complete the application process when appropriate.
• Create and update patient records in the electronic health record and enter patient information accurately and promptly in tracking systems.
• Review charts for patients receiving Perinatal and Primary Care services to identify those who need health coverage assistance.
• Identify uninsured patients who need specialty care and help them apply for charity care at hospitals or other health care facilities.
• Review billing-claim reports for uninsured patients, screen for coverage programs, and add payors when patients are enrolled.
• Maintain patient renewal information and contact families before health plan renewals are due to help prevent coverage gaps or loss of insurance.
• Answer questions about OLE Health resources, sites, and services, and serve as a resource to clinic staff on third-party payor programs and public-charge and immigration issues related to health care benefits.
• Train staff on eligibility requirements, application processes, and the benefits of enrollment in third-party programs and health care coverage.
• Attend health fairs, meetings, and community events to inform community members about health care coverage options.
• Assist patients referred to outside medical providers or services in accessing financial and community resources.
• Produce regular reports on activity and outcomes.
• Attend meetings and trainings to maintain current knowledge of OLE Health services, state application-assistance rules and guidelines, and community resources.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage; the employer pays 90% of the employee premium and 50% of the dependent premium.
• 18 days of paid time off, combining vacation and sick time.
• 10 paid holidays and one floating holiday.
• 403(b) retirement plan with a 2% employer match when the employee contributes 4%.
• Tuition reimbursement of up to $2,000 per calendar year for part-time and full-time employees, prorated by full-time equivalent.
• Life and accidental insurance coverage.
• Employer contribution to a Health Savings Account.
• Flexible Spending Account and Limited FSA options.

What This Job Offers

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