We are recruiting for a Enrollment Specialist to join our team!
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DepartmentEnrollment Services
Job Summary
Under general supervision, determines medical assistance eligibility forpatients/clients in hospital outpatient/ inpatient, and emergencysettings, as well as face-to-face and in a call center environment.Enrollment Specialists assist patients/clients with submitting/processingdocumentation to complete applications and forms for various medicalassistance programs. Collaborate directly with both internal and externalpartners such as State entities, other departments and communityorganizations. Complete accurate data entry into multiple Federal, State andin
Essential Functions:(70%) Program Eligibility and Enrollment:* Interviews patients/clients to determine living and financial situation,calculates applicable income and assets, and determines eligibility forappropriate medical assistance programs.* Clearly explains the various medical assistance programs topatients/clients and assists them in completing the necessary forms to applyfor such programs.* Identifies, researches, and resolves complex problems related toeligibility determinations for various medical assistance programs.
(25%) Case Maintenance for Medicaid and Other Programs:* Effectively and accurately follows established work procedures andguidelines to be efficient in the Medicaid case maintenance andredetermination processes. Includes application completion, collection ofall documentation, data entry into CBMS, including detailed case comments.* Receives, processes, and verifies CHP+ enrollment fees and MedicaidBuy-In premium payments.
(5%) Collects data utilizing various tracking tools that have beendeveloped to monitor performance.
Education:High School Diploma or GED Required
Work Experience:less than 1 year Related experience Required
Knowledge, Skills, and Abilities:Knowledge of medical and/or public assistance programs including Medicaid,CHP+, CICP, DFAP, and Connect of Health Colorado health plans.Knowledge of federal and Colorado statutes, legislative initiatives andregulations, as well as federal, State and local policies.Knowledge of the eligibility determination system CBMS, Epic,Salesforce, Five9 systems.Proficient in Microsoft Word, Excel, and Outlook.Skilled in analytical thinking, problem solving, and process improvement.Skilled in providing excellent customer service.Ability to communicate orally and in writing in a thorough, clear, andprofessional manner.Ability to simultaneously coordinate and manage several functions,programs, and tasks in various stages of completion.Ability to consistently implement program, department and organizationalpolicies and procedures.Ability to work efficiently both independently and in a team environment.Ability to treat all individuals with courtesy, dignity, empathy, andrespect; consistently displays courteous and respectful verbal andnon-verbal communications.
Shift
Work TypeRegular
Salary$23.85 - $32.26 / hr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediateretirement plan employer contribution up to 9.5%, and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel,and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free studentloan coaching a d assistance... For full info follow application link.