Enrollment Coordinator

MISSION, VISION, AND VALUES

Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers.

JOB SUMMARY

The Enrollment Coordinator will assist patients to enroll and maintain enrollment into health Insurance and subsidy programs and to anchor patients to Harbor Community Health Centers (HarborCHC). The Enrollment Coordinator is expected to adhere to all of HarborCHC's standards and values and to carry out all duties and responsibilities according to the organization's policies and procedures.

ESSENTIAL DUTIES & RESPONSIBILITIES                                                                                                                   

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required:

• Complete a comprehensive benefits and qualified health insurance assessment for each client to determine eligibility in various health programs and/or public benefits such as Covered CA, Medi- cal, Medicare, Calfresh, and HarborCHC's Sliding Fee Discount Program (SFS).


• Promote HarborCHC services to community members in need of a medical home.


• Help patients and community member’s complete application/submission for programs/benefits for which they qualify, ensure proper documents are collected and provide troubleshooting assistance. 


• Submit enrollment applications and all related information into designated program platforms such as Covered CA and/or Benefits Cal.


• Timely follow ups to verify the status of enrollment applications and assist clients who are experiencing problems.


• Assist patients and community members to select a health plan based on their needs via Health Care Options, or other applicable program platforms.


• Contribute to the retention of existing patients by providing insurance renewal services to avoid gaps in coverage continue and to maintain HarborCHC as their assigned medical home.


• Ensure timely, accurate, and detailed documentation in HarborCHC's EHR, eClinicalWorks (ECW), for all enrollment assistance provided to each individual and/or families


• Maintain program participant files including enrollment documents, records of services accessed, and enrollment verification. Input all participant enrollment information into designated spreadsheet on a daily basis for tracking purposes.


• Work with other staff to make sure that patients and community members who received enrollment assistance are assigned to HarborCHC and attend initial IHA appointments.


• Adhere to all policies and requirements as set forth by Medi-Cal, Covered CA, LA County and other applicable programs.


• Provide a monthly enrollment assistance report to Supervisor. Report includes all client/patient appointments that received assistance, type of assistance provided, progress made, and an overall quantitative measurement of enrollment numbers reached to assess productivity.


• Perform other duties as assigned to support HarborCHC's Mission and Values.

Tracking and Documentation

• Maintains appropriate and accurate log of patients assisted, including:


• Name of patient


• Patient chart number, I.D., Date of Birth, Medi-Cal number


• Type of enrollment assistance provided 


• Type of health plan or program enrolled in


• Date of application


• Status of application


• Other activities, including follow-up phone calls or updates


• Keeps all patient paperwork/documents in an organized manner to avoid repeated visits


• Maintains or submits required reports to his/her supervisor

QUALIFICATIONS

Minimum required education, experience and/or training:

• High school diploma or equivalent 


• Verbal and written fluency in English and Spanish 


• At least 2 year’s experience of substantial work experience in the target community providing customer/patient services in healthcare setting


• Current Basic Life Support (BLS) Certification by the American Heart Association 


• Experience at Federally Qualified Health Center preferred


• Excellent customer service skills


• Must have proficient computer skills including Microsoft Office abilities, with intermediate Excel skills


• Interest and commitment toward improving community health


• Strong communication and organizational skills

Key Competencies:

• Committed to providing an exceptional experience in all interactions

• Experience with electronic health records (EHR), eClinicalWorks preferred

• Familiarity with San Pedro/surrounding areas


• Communication/Public Speaking-verbal and writing skills


• Professional among co-workers, community partners


• Be a team player


• Culturally/Linguistically sensitive when speaking to target population 


• Basic knowledge of insurance enrollment requirements, including Medi-Cal, Covered CA and Medicare


• Ability to understand and manage patient appointment schedules in order to optimize patient flow and provider/staff productivity.


• Must have strong analytical and problem solving skills


• Must have the willingness and ability to adapt to change including advances in technology


• Ability to handle multiple tasks and be highly organized and detail-oriented, data reporting, emails, etc


• Proactive mentality, ability to ask questions when things aren’t clear, present creative ideas


• Committed to the mission of HarborCHC

EXPECTATIONS

• Adheres to all Harbor Community Health Center (HarborCHC) Policies and Procedures

• Observes all policies and procedures for use of time-keeping system, including attendance, tardiness, proper clocking procedure, overtime authorization, and that employee nametag is clearly visible


• Conducts self in a manner that HarborCHC’s core values at all times


• Maintains a positive and respectful attitude with all work-related contacts


• Provides excellent customer service.


• Communicates regularly with his/her immediate supervisor about Departmental and Harbor Community Health Centers concerns.


• Consistently reports to work prepared to perform the duties of the position


• Meets productivity standards and performs duties as workload necessitates


• Fosters an environment that promotes trust and cooperation among all staff.

PHYSICAL REQUIREMENTS

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust. 

HOURS OF OPERATION

HarborCHC is open Monday-Thursday 7:00am-7:00pm, Friday 8:00 am-5:00pm, Saturday 8:00am-5:00pm with occasional overtime, or other shifts based on clinic need. This is a Non-exempt position and any overtime must be approved by the Supervisor in advance.

HR PROCEDURAL REQUIREMENTS

• Legal authorization to work in the United States.


• Clear all post offers, pre-employment background screening, and education verification.


• This is not entended to cover all aspects of your description as additional duties may be assigned. 

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT

HarborCHC does not discriminate in employment opportunities or practices on the basis of race; religion; color; sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions); sexual orientation; national origin; ancestry; physical or mental disability; medical condition; genetic information/characteristics; marital status/registered domestic partner status; age; sexual orientation; reproductive health decision-making; military or veteran status; use of cannabis off the job and away from the workplace; and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

DISCLAIMER

The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at-will employer.

In addition, HarborCHC  may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at-will relationship), with or without cause or prior notice.