Patient Resources Coordinator

• Improve the overall health of served communities by enrolling and educating patients about CHAS services and community resources
• Oversee management of patients assigned to or eligible for CHAS managed care contracts
• Work with mixed patient populations across gender, age, ethnicity, insured status, and uninsured status
• Review patient demographics to determine eligibility for health insurance, assistance programs, and community resources
• Enroll patients in Medicaid, CHIP, Qualified Health Plans, and Qualified Dental Plans through state insurance marketplaces
• Enroll patients in food assistance, cash assistance, Medicare Savings, childcare assistance, and Low-Income Subsidy programs
• Maintain working knowledge of managed care programs, value-added benefits, and coverage scope
• Educate patients on proper insurance plan utilization, CHAS Health services, clinic and plan rules, and patient responsibility
• Review dental treatment plans, advise patients on insurance coverage and out-of-pocket costs, and submit dental treatment prior authorizations when required
• Participate in community outreach programs
• Train staff on current insurance, managed care, and resource-related issues
• Track enrollments, managed care conversions, and other activities regularly
• Perform other assigned duties supporting the CHAS Health mission and core values

• HS diploma or equivalent preferred
• Health industry experience strongly preferred
• Experience working with medical insurance very helpful
• Face-to-face customer/patient service experience required
• Excellent verbal and written communication
• Basic computer and typing skills required
• Depending on clinic location, Washington Healthplanfinder navigator certification or Your Health Idaho Enrollment Counselor certification required within 90 days of hire
• Commitment to supporting a safe and respectful environment required

Demonstrates expertise in patient enrollment and education regarding health insurance and community resources, with a strong focus on managed care programs and customer service. Proficient in navigating state insurance marketplaces and maintaining compliance with health industry standards.

• Patient Enrollment
• Managed Care Programs
• Health Insurance Knowledge
• Customer Service Experience
• Communication Skills

• Patient Demographics Review
• Insurance Plan Utilization
• Dental Treatment Plan Review
• Prior Authorization Submission
• Basic Computer Skills

• Verbal Communication
• Written Communication
• Training and Education

• Washington Healthplanfinder Navigator Certification
• Your Health Idaho Enrollment Counselor Certification

• Managed Care
• Medicaid
• CHIP
• Qualified Health Plans
• Community Outreach
• Low-Income Subsidy Programs

• Washington Healthplanfinder
• Your Health Idaho