Enrollment Coordinator LB

Job Description

Job Description

Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers.

The Enrollment Coordinator will assist patients to enroll and maintain enrollment into health Insurance and subsidy programs and to anchor patients to Harbor Community Health Centers (Harbor

CHC). The Enrollment Coordinator is expected to adhere to all of Harbor

CHC's standards and values and to carry out all duties and responsibilities according to the organization's policies and procedures.

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required:

• Complete a comprehensive benefits and qualified health insurance assessment for each client to determine eligibility in various health programs and/or public benefits such as Covered CA, Medi cal, Medicare, Calfresh, and Harbor
  
  CHC's Sliding Fee Discount Program (SFS).
• Promote Harbor
  
  CHC services to community members in need of a medical home.
• Help patients and community member’s complete application/submission for programs/benefits for which they qualify, ensure proper documents are collected and provide troubleshooting assistance.
• Submit enrollment applications and all related information into designated program platforms such as Covered CA and/or Benefits Cal.
• Timely follow ups to verify the status of enrollment applications and assist clients who are experiencing problems.
• Assist patients and community members to select a health plan based on their needs via Health Care Options, or other applicable program platforms.
• Contribute to the retention of existing patients by providing insurance renewal services to avoid gaps in coverage continue and to maintain Harbor
  
  CHC as their assigned medical home.
• Ensure timely, accurate, and detailed documentation in Harbor
  
  CHC's EHR, eClinical
  
  Works (ECW), for all enrollment assistance provided to each individual and/or families
• Maintain program participant files including enrollment documents, records of services accessed, and enrollment verification. Input all participant enrollment information into designated spreadsheet on a daily basis for tracking purposes.
• Work with other staff to make sure that patients and community members who received enrollment assistance are assigned to Harbor
  
  CHC and attend initial IHA appointments.
• Adhere to all policies and requirements as set forth by Medi-Cal, Covered CA, LA County and other applicable programs.
• Provide a monthly enrollment assistance report to Supervisor. Report includes all client/patient appointments that received assistance, type of assistance provided, progress made, and an overall quantitative measurement of enrollment numbers reached to assess productivity.
• Perform other duties as assigned to support Harbor
  
  CHC's Mission and Values.

• Maintains appropriate and accurate log of patients assisted, including:
• Name of patient
• Patient chart number, I.D., Date of Birth, Medi-Cal number
• Type of enrollment assistance provided
• Type of health plan or program enrolled in
• Date of application
• Status of application
• Other activities, including follow-up phone calls or updates
• Keeps all patient paperwork/documents in an organized manner to avoid repeated visits
• Maintains or submits required reports to his/her supervisor

Minimum required education, experience and/or training:

• High school diploma or equivalent
• Verbal and written fluency in English and Spanish
• At least 2 year’s experience of substantial work experience in the target community providing customer/patient services in healthcare setting
• Current Basic Life Support (BLS) Certification by the American Heart Association
• Experience at Federally Qualified Health Center preferred
• Excellent customer service skills
• Must have proficient computer skills including Microsoft Office abilities, with intermediate Excel skills
• Interest and commitment toward improving community health
• Strong communication and organizational skills

• Committed to providing an exceptional experience in all interactions

• Experience with electronic health records (EHR), eClinical
  
  Works preferred

• Familiarity with San Pedro/surrounding areas

• Communication/Public Speaking-verbal and writing skills

• Professional among co-workers, community partners

• Be a team player

• Culturally/Linguistically sensitive when speaking to target population

• Basic knowledge of insurance enrollment requirements, including Medi-Cal, Covered CA and Medicare

• Ability to understand and manage patient appointment schedules in order to optimize patient flow and provider/staff…