Position: Enrollment Specialist

Status: 40 hours per week

The primary objective of the Enrollment Specialist is improve access to care through connection of clients to appropriate health coverage options. This is completed by (1) providing education on health coverage options and the health care system; (2) helping with enrollment in health insurance and financial assistance on Connect for Health Colorado or applying for Medicaid; (3) escalating, monitoring, troubleshooting, and following-up with complicated cases to ensure a resolution; and (4) supporting Doctors Care volunteers as they provide enrollment assistance to clients.

Core Responsibilities/Key Accountabilities

- Must be able to perform all job responsibilities virtually from home when necessary, this is a hybrid position. Consisting of maximum 2 days in person. Must have secure private office space to perform all responsibilities in a HIPAA complaint environment.

Enrollment Assistance in Health Coverage

· Provide enrollment assistance to clients, including help with Medicaid, CHP and Connect for Health Marketplace coverage applications.

· Help clients open or access an account on PEAK and/or Connect for Health Colorado.

· Assist and refer clients with appeals, grievances, and complaints to the appropriate agency.

· Make referrals as needed to the client service center, certified brokers, or government and community resources.

· Follow-up with pending cases using appropriate resources to ensure successful health coverage outcomes.

· Provide all services in a manner that is culturally and linguistically relevant to each client.

· Accurately track and record outcomes in customer management tools.

Health Insurance Literacy Education

· Educate clients on health insurance terminology, using their health coverage, rights when using insurance, and reporting changes to ensure continued coverage and improved access to care.

· Explain to clients when life changes can and should be reported and when the health plan renewal will take place.

· Follow-up with clients to improve retention in health coverage and encourage appropriate use of healthcare services.

· Create and provide health literacy education to client, volunteers and community members.

Volunteer Support

· Provide ongoing training, mentoring, and daily support to volunteer health coverage guides.

· Support Connection to Coverage program manager in planning monthly volunteer health coverage guide meetings.

· Provide updates to Program manual to create appropriate support materials such as policies and procedures.

Cover Team

· Provide on-site Coverage services to allow outreach team to provide community services to outside of DC.

· Occasionally provide services outside normal work hours.

· Actively participate in staff, team, and individual supervision meetings.

· Support other team members and maintain a positive collaborative attitude.

Performance Metrics

• Regularly scheduled individual supervision with Connection to Coverage Program Manager.
• Reliably complete key responsibilities and accountabilities in a timely and quality manner.

Knowledge, Skills and Strengths Requirements

· Strong organizational skills and the ability to manage multiple responsibilities and meet deadlines

· Customer service skills with the ability to explain and summarize in plain language detailed Health insurance concepts.

· Ability to speak, read, and write fluently in Spanish REQUIRED.

· Ability to recognize cultural, language, and learning differences

· Basic knowledge of health insurance and health service delivery preferred.

· Ability to provide assistance without providing advice and to set and maintain appropriate boundaries at all times

· Willing to adapt to changing information and/or policies and procedures.

· Intermediate or higher proficiency in MS Office Suite (Outlook, Word, MS Excel) and Electronic Health Records

· Work in a collaborative team setting.

· Experience at networking in the community

· Familiar with HIPAA policies and procedures preferred. Handle sensitive information with discretion

· Show understanding and concern for others

· Self-motivated

· Strong problem-solving skills

Desired Education and Experience

Associate Degree and 1 years administrative experience

Certification as a Health Coverage Guide

OR

An equivalent combination of education and relevant work experience

Job Type: Full-time

Pay: $21.60 - $22.00 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Day shift

Application Question(s):

• Are you located in Denver Metro Area?

Language:

• Spanish and English (Required)

Work Location: Hybrid remote in Littleton, CO 80120