Enrollment Specialist

Description

SUMMARY:  The Enrollment Specialist (ES) will be responsible for increasing access to medical care through application and enrollment assistance for homeless children and adults. The ES will provide outreach and education to patients regarding mental health services available at CFH and in the community, and they will strengthen enrollment collaborations with partner organizations.

This employee will work as part of the PCMH team. Enrollment is based on patient care needs and the scope of the practice and follows the principles of Trauma Informed Care.

ESSENTIAL DUTIES AND RESPONSIBILITIES  

Outreach

• • Outreach to uninsured patients at CFH by phone, mail, or in-person to promote health insurance enrollment.
  • Document outreach encounters in eClinical Works using telephone encounters.
  • Provide structured patient education on Medicaid and other insurance eligibility.
  • Escort patients as necessary to obtain documents to enroll in health insurance, as needed.
  • Develop and distribute appropriate outreach materials to patients and partner organizations to increase insurance coverage option awareness and applicable Affordable Care Act (ACA) provisions.
  • Travel within CFH health centers to provide insurance enrollment, as required.

Mental Health Services

• • Educate patients in mental health services available within CFH, and beyond.
  • Refer patients in need of mental health services to a mental health provider at CFH and in the community.
  • Use NowPow to search for community organizations and programs based in client’s need.

Health Insurance Enrollment

• • Provide insurance enrollment assistance for uninsured and underinsured patients, including but not limited to completing applications, gathering required documentation, and troubleshooting the enrollment process.
  • Utilize health insurance verification systems such as ePaces and Claim Remedy to verify health insurance information.
  • Work with NY State of Health Marketplace to submit applications, client documents and file complaints, as necessary.
  • Document insurance application encounters in eClinical Works.
  • Collaborate with partner organizations to increase enrollment in Medicaid, Medicare, and other health insurance.
  • Attend and successfully complete all required training programs and participate in ongoing training and webinars, as necessary.
  • Assist in the development and implementation of organizational outreach and enrollment initiatives.
  • Perform additional duties as required.

Qualifications

JOB QUALIFICATIONS:

• Education: Bachelor’s Degree Preferred.
• Experience:
  • 1-2 years of experience in program development within a health services agency preferred.
  • Certified Application Counselor with NY State of Health Marketplace, preferred.
  • Previous experience with ePaces, Claim Remedi, and eClinical works, preferred.

Skill Sets:

• Excellent organizational and communication skills required.
• Ability to multi-task and meet assigned deadlines from a variety of management staff.
• Ability to work in a fast-paced and ever-changing environment.
• Leadership and/or facilitation experience with a group or team
• Public presentation and speaking skills.
• Bilingual Spanish is strongly preferred. 
• Extremely proficient in Microsoft Office Suite; the employee is willing and able to:
• Create, edit, and interpret charts, tables, and spreadsheets (via Microsoft Excel).
• Effectively manage, filter, and sort data (via Microsoft Excel).
• Create well-organized documents and outlines (via Microsoft Word).
• Manage mailbox and calendar (via Microsoft Outlook). 

Salary : $25