Enrollment Sp
Salud Family Health Centers - Fort Lupton, CO

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Salud Application: Enrollment Specialist

Employment application begins below job description.

Salud is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, age, sex, disability, sexual genetic information or any other status protected by law or regulation. It is our intention that applicants be given equal opportunity and that selection decisions be based on job-related factors.

General Description of Duties:
In 2013, Salud Family Health Centers were selected through a Health Resources and Services Administration (HRSA) grant to provide local, in-person assistance to patients in establishing eligibility for and gaining access to Federal, State, and local programs that provide or financially support the provision of medical, social, educational or other related services. Enrollment Specialists will determine patient eligibility for and facilitate enrollment in affordable health insurance coverage through the Health Insurance Marketplaces (through Connect for Health Colorado (C4HCO)), Medicaid or the Children’s Health Insurance Program (CHP+). Enrollment Specialists will also provide patients with basic information on Salud Family Health Centers, including information on Salud Policies and Procedures as approved by the Board, access to care and enrollment in other Salud programs such as the Colorado Indigent Care Program (CICP) or Clinic Rate. Enrollment Specialists may also promote programs and services through community outreach.

Supervision Received:

Works under the direct supervision of the Business Manager(s) of home clinic. Position may report to more than one Business Manager if duties are split between clinic locations. Position ultimately reports to the Vice President of Operations.

Supervision Exercised:

Position does not supervise any employees.

Specific Duties:

Responsibilities include:
Deliver general education about C4HCO insurance programs, Medicaid, CHP+, CICP, Clinic Rate and/or other Salud programs and services that patients may be eligible for.
Assist individuals and families in navigating and/or enrolling in programs and services through in-person visits and follow-up communication or case management. Utilize the Enrollment Checklist and Salud Programs Eligibility Listing to provide patients with basic information on Salud, including information on Salud Policies and Procedures as approved by the Board and information on accessing care in our clinics. Follow policies and procedures as outlined by the Colorado Department of Health Care Policy and Financing or the Colorado Department of Public Health and Environment to determine program eligibility and enrollment practices. Maintain expertise about C4HCO insurance programs, Medicaid, CHP+, CICP, Clinic Rate and/or other programs and services at Salud. Explain Qualified Health Plans, Essential Health Benefits and rights when using insurance. Provide information about tax credits and cost sharing subsidies. Support clients with renewing coverage during appropriate renewal periods. Refer customers with appeals, grievances and complaints to the appropriate agency. Enter accurate data into CBMS or other computer systems. Develop partnerships with community organizations, schools and businesses as needed or requested by supervisor. Present to both small and large groups; attending community events; accurately tracking and logging outreach activities as needed or requested by supervisor. Provide overall excellent, unbiased and culturally appropriate customer service to the community. Accurately track and records activities for reporting as required. Maintain a secure and trusting environment by not sharing information learned on the job except when necessary as determined by the Health Insurance Portability and Accountability Act (HIPAA). Coordinate will all other departments to ensure patient satisfaction. Work in tandem with Patient Service Representatives, Enrollment Specialists, Health Coverage Guides and County Medicaid Technicians to promote a seamless enrollment process in all programs and services offered at Salud. Position will be required to travel between Salud clinic locations based on scheduling needs and to community events. Position will be required to work as a Salud team member, participating in meetings, retreats and special events as necessary.

Performs other duties as assigned.

Qualifications for Appointment:

Knowledge, Skills, and Abilities:
Ability to grasp and implement new programs and information
Skilled in internet use and research
Highly proficient computer skills to include MS Word, Excel, PowerPoint, and Outlook
Ability to manage files and records and work actively with individuals needing assistance during in-person visits, community events or follow-up communication
Excellent oral and written communication skills, including presenting and speaking in public settings
Customer service experience including working with people in one-on-one settings and group setting
Ability to explain and summarize detailed concepts like Medicaid Enrollment Process or Essential Health Benefits in a way that the general population can understand
Sensitivity to low income and ethnic minority community a must
Ability to multitask, prioritize work and meet deadlines
Basic knowledge of health insurance and health service delivery
Good interpersonal skills and the ability to work well with members of the public
Access to reliable transportation
Background check required

Education and Experience:
High school diploma or GED required
Bachelor’s degree in health related field or two or more years of customer service experience in health care or insurance setting
Knowledge of program rules for Medicaid, CICP, and CHP + preferred.
Bilingual English/Spanish preferred, may be required for some clinic locations.

Licensure/Certification:

Not required.

Blood borne pathogen risk level:

Low risk for blood borne pathogens

Environmental Conditions:

Normal Medical and Dental office environment at Salud clinics as well as, community events, health fairs, and community settings in local communities.

Physical Requirements:

Requires sitting for long periods of time. Some bending and stretching requires eye-hand coordination and manual dexterity sufficient to operate keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Working under stress required.

FLSA Code: Non Exempt position

Looking to hire 10.0 FTE employees to be distributed among the clinics as follows:

–2.0 Brighton
–1.0 Ft. Collins
- .6 Ft. Collins (24 hours per week)
- .4 Estes Park (16 hours per week) No Benefits
–2.0 Longmont
–1.0 Sterling/Ft. Morgan
–1.0 Frederick/Ft. Lupton

This job description is not intended to be an inclusive list of all duties, responsibilities, or qualifications associated with this position.


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