Search Jobvertise Jobs
Jobvertise

Community Enrollment Specialist
Location:
US-CA - 90079
Email this job to a friend

Report this Job

Report this job





Incorrect company
Incorrect location
Job is expired
Job may be a scam
Other







Apply Online
or email this job to apply later

Position Summary


Reporting to the Supervisor, Social and Community Relations, the Community Enrollment Specialist will assists patients/clients, either directly or indirectly through referral, enroll into the appropriate coverage program; enrollment/re-enrollment in Medi-Cal, Covered California, Healthy Families, Cal-Fresh and others. Assist with the application enrollment process and provide follow-up to ensure enrollment, utilization, and retention for MLKCH. In addition, process of accessing Public Benefits; develop relationships with community agencies to keep steady flow of new patients into MLKCH. Will educate potential patients about health coverage programs and various private and government-sponsored programs including Medi-Cal, Covered California, Cal-Fresh, and others. Will conduct brief health education/awareness and outreach contacts and encounters. Coordinates enrollment and outreach efforts for businesses with MLKCH growth and reputation initiatives efforts and implements a comprehensive outreach strategy within the community.


Essential Duties And Responsibilities


  • Screen for eligibility and provide assistants to patients/clients enrolling into Medi-Cal, Covered California and developing a systematic referral network plan and execution to assist with MLKCH growth.
  • Assist established and potential patients with establishing care at MLKCH as their primary care home and booking appointment.
  • The Community Enrollment Specialist will be accountable for monitoring, analyzing, and reporting activity against established monthly goal.
  • Run eligibility status for patients/clients through Next Bar Experian and ensure enrollment is assigned correctly under appropriate PCP/Clinic/ Medical Group.
  • Maintain and update all patient/client records in regards to benefits via Revenue Cycle and/or EHR system.
  • Review status and follow up to confirm enrollment, encourage the utilization of health insurance benefits and services.
  • Will provide education and health enrollment assistance to potential patients in the community about healthcare options, including Medi-Cal, Covered California, Healthy Familie, Cal-Fresh and others.
  • Assist those experiencing difficulties (e.g., enrollment troubleshooting and advocacy on behalf of the family, barriers to enrollment, utilization and retention) and offer retention assistance.
  • Identify outreach locations in the community to provide health coverage and other government-sponsored programs.
  • Drives enrollment results through the implementation of the outreach and enrollment plan for the designated area.
  • Make sure that prenatal patients and their newborns are enrolled in Medi-Cal, Covered California, and/or other health care options available.
  • Works with the Supervisor of Social and Community Relations to develop target outcomes for enrollment, outreach initiative, and maintain an extensive awareness of community-based patient resources.
  • Adhere to all policies as set forth by Medi-Cal and Covered California and government-sponsored programs.
  • Prepares monthly community enrollment and outreach report, documenting contacts generated, follow up activities and estimates of resources needed for next strategic steps.
  • Attend/Conduct any community health fairs and other places where people congregate for enrollment assistance and MLKCH growth (including selected weekday and weekend events when assigned).
  • Assists MLKCH growth and reputation initiatives efforts targeting potential patients and eligible community members, including participating in presentations and open enrollment activities.
  • Will have a quota of 20 a month that will be compensated and quota is subject to change based on season.
  • Other duties as assigned


POSITION REQUIREMENT


  • Education
  • High school diploma or GED required. Associates Degree, Bachelors Degree, in Healthcare, Business Administration or related field preferred.
  • Certified Application Assister (CAA)
  • Certified Enrollment Counselor (CEC) certification preferred
  • Qualifications/Experience
  • Bilingual English/Spanish required
  • Two (2) or more years of experience working with Medi-Cal, Covered California, health insurance programs and other public benefits.
  • Experience working with individuals from diverse ethnic, educational, cultural and socioeconomic backgrounds, gender identity, sexual orientation.
  • Interest in advocating promoting health care accessibility.
  • Exceptional interpersonal skills and team player.
  • Follow agency policies and maintain organizational standards with regards to patient/client confidentiality and HIPAA compliance.
  • Current valid California Driver License and Insurance Certificate.
  • Special Skills/Knowledge
  • Proficiency in Windows computer software, web-based portal systems, and internet web browsers.
  • Strong verbal and written communication skills and active listening skills.

MLK Community Healthcare

Apply Online
or email this job to apply later


 
Search millions of jobs

Jobseekers
Employers
Company

Jobs by Title | Resumes by Title | Top Job Searches
Privacy | Terms of Use


* Free services are subject to limitations