Enrollment Specialist
Company: Denver Health
Location: Denver
Posted on: April 16, 2024
Job Description:
We are recruiting for a Enrollment Specialist to join our
team!We are here for life's journey.Where is your life journey
taking you?Being the heartbeat of Denver means our heart reflects
something bigger than ourselves, something that connects us
all:Humanity in action, Triumph in hardship, Transformation in
health.DepartmentEnrollment ServicesOpen clinic position locations
will be provided if selected for an interview Job Summary:Under
general supervision, determines medical assistance eligibility for
patients/clients in hospital outpatient/ inpatient, and emergency
settings, as well as face-to-face and in a call center environment.
Enrollment Specialists assist patients/clients with
submitting/processing documentation to complete applications and
forms for various medical assistance programs. Collaborate directly
with both internal and external partners such as State entities,
other departments and community organizations. Complete accurate
data entry into multiple Federal, State and internal
systems.Essential Functions:
- Program Eligibility and Enrollment:* Interviews
patients/clients to determine living and financial situation,
calculates applicable income and assets, and determines eligibility
for appropriate medical assistance programs.* Clearly explains the
various medical assistance programs to patients/clients and assists
them in completing the necessary forms to apply for such programs.*
Identifies, researches, and resolves complex problems related to
eligibility determinations for various medical assistance
programs.(70%)
- Case Maintenance for Medicaid and Other Programs:* Effectively
and accurately follows established work procedures and guidelines
to be efficient in the Medicaid case maintenance and
redetermination processes. Includes application completion,
collection of all documentation, data entry into CBMS, including
detailed case comments.* Receives, processes, and verifies CHP+
enrollment fees and Medicaid Buy-In premium payments.(25%)
- Collects data utilizing various tracking tools that have been
developed to monitor performance. (5%)Education:
- High School Diploma or GED RequiredWork Experience:
- 1-3 years Related experience RequiredKnowledge, 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 and regulations, 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, and professional manner.
- Ability to simultaneously coordinate and manage several
functions, programs, and tasks in various stages of
completion.
- Ability to consistently implement program, department and
organizational policies and procedures.
- Ability to work efficiently both independently and in a team
environment.
- Ability to treat all individuals with courtesy, dignity,
empathy, and respect; consistently displays courteous and
respectful verbal and non-verbal communications.ShiftDays (United
States of America)Work TypeRegularSalary$23.85 - $32.26 /
hrBenefits
- Outstanding benefits including up to 27 paid days off per year,
immediate retirement 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
student loan coaching and assistance navigating the PSLF
program
- National Health Service Corps (NHCS) and Colorado Health
Service Corps (CHSC) eligible employerOur Values
- Respect
- Belonging
- Accountability
- TransparencyAll job applicants for safety-sensitive positions
must pass a pre-employment drug test, once a conditional offer of
employment has been made.Denver Health is an integrated,
high-quality academic health care system considered a model for the
nation that includes a Level I Trauma Center, a 555-bed acute care
medical center, Denver's 911 emergency medical response system, 10
family health centers, 19 school-based health centers, Rocky
Mountain Poison & Drug Safety, a Public Health Institute, an HMO
and The Denver Health Foundation.As Colorado's primary, and
essential, safety-net institution, Denver Health is a
mission-driven organization that has provided billions in
uncompensated care for the uninsured. Denver Health is viewed as an
Anchor Institution for the community, focusing on hiring and
purchasing locally as applicable, serving as a pillar for community
needs, and caring for more than 185,000 individuals and 67,000
children a year.Located near downtown Denver, Denver Health is just
minutes away from many of the cultural and recreational activities
Denver has to offer.We strongly support diversity in the workforce
and Denver Health is an equal opportunity employer (EOE).Denver
Health values the unique ideas, talents and contributions
reflective of the needs of our community. For more about our
commitment to diversity visit:
Keywords: Denver Health, Boulder , Enrollment Specialist, Other , Denver, Colorado
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