The Enrollment Specialist is responsible for managing patient insurance applications and eligibility requirements, conducting outreach activities, and developing statistical enrollment reports. This role requires strong communication skills and knowledge of health insurance plans, including Medicaid and Medicare.
Requirements
- Aid and process state and/or federal applications for insurance coverage
- Troubleshoot application questions or concerns
- Serve as a liaison between state/federal systems and patients
- Monitor enrollment reports to identify enrollment assistance needs
- Active patient outreach to capture patient eligibility status
- Community outreach to educate and assist community members
- Advise patients of their Enrollment status with Medicaid/Medicare
- Schedule patients in Enrollment appointments
- Provide system or clinic support for New Patient and Enrollment scheduling
- Confirm patient demographics, registration, and insurance information
- Promote and educate on MyChart use
- Create new patient records in EHR
- Patient activation and education on use and benefits of MyChart
- Complete the patient registration process and document in the EHR
- Educate patients on FPL, Medicaid, and Marketplace requirements
- Auditor of patient charts to ensure accurate financial registration
- Updates patients charts to ensure accurate financial registration
- Reaches out to patients to get updated corrected information
- Works with billing and site supervisors to coordinate needed paperwork and forms
- Working knowledge of health insurance plans
- Excellent oral and written communication skills
- Ability to develop and present effective presentations
- Ability to prepare basic correspondence and simple reports
- Ability to create, send and manage email
- Ability to access and use web-based applications and EMR program
- Understanding of healthcare navigation
- Knowledge of standard office policies and procedures
- Knowledge of Microsoft Office software products
- Computer literacy and typing skills
- Training in Marketplace enrollment
- Knowledge of standard office machines
- Excellent customer service skills
- Bi-lingual in Spanish/English
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Relocation Assistance
