Enrollment Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Sunrise Community Health · 3 months ago

Enrollment Specialist

Sunrise Community Health is dedicated to delivering high quality, affordable healthcare in northern Colorado. The Financial Screening Enrollment Specialist will complete patient interviews for financial programs, determine eligibility for services, and provide excellent customer service while ensuring compliance with various regulations.

DentalHealth CarePharmaceuticalRehabilitation
check
Culture & Values

Responsibilities

Complete patient interviews for financial programs
Determine eligibility for services and method of payment (i.e., Medicaid, Medicare)
Complete financial verification, receive copies of financial documentation
Complete patient registration forms, verify address and financial income information, and create patient registration and account files through data entry on the computer system
Follow-up with presumptive eligibility, approvals and denials process and pending Medicaid by maintaining logs
Submit Medicaid applications for presumptive eligibility for baby care and kid care within five days
Start new patient medical records with all required forms
Demonstrate knowledge of programs offered by Sunrise Community Health Center
Explain the services available, charging and billing policies, and patient rights and obligations
Counsel patients about the availability and utilization of community and county agencies for financial assistance and make referrals as appropriate
Provide ongoing eligibility review for established patients
Re-screen patients and update family information status as needed
Determine and explain eligibility status for financial and federal grants
Assure compliance with all funding sources, including state, city, county, and federal regulations
Treat all patients with respect and courtesy, respect patients’ rights to confidentiality and work cooperatively with other members of the staff
Assure patient needs are being properly addressed through scheduling
Assist walk-in patients
Place reminder calls to patients for scheduled appointments
Provide excellent customer service for patients, practice confidentiality and privacy protocols in accordance with clinic policies and HIPAA requirements
Distribute patient surveys according to guidelines
Assist team to maintain proper clinic flow
Check in patients, collect co-pays, and counsel patients on account balances
Verify other primary insurance
Assist/offer Voter Registration
Travel to other Clinics, as needed

Qualification

Third party billingState funded programsClerical experienceBilingual English/SpanishCustomer service

Required

High School Diploma/ GED
1 year experience in third party billing, state funded programs, payer source and billing procedures
2 years of clerical experience and / or training, preferably in a clinical environment or the equivalent combination of education and / or experience

Preferred

Bilingual English / Spanish Preferred

Benefits

Generous PTO and Leave Times: Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, and Sick Leave)
Health, Medical, and Wellness Benefits: Medical Insurance
Health, Medical, and Wellness Benefits: Dental & Vision Insurance
Health, Medical, and Wellness Benefits: Basic Life & AD&D Insurance
Health, Medical, and Wellness Benefits: Voluntary Life Insurance
Health, Medical, and Wellness Benefits: Long-Term Disability (LTD)
Health, Medical, and Wellness Benefits: FSA Medical Flexible Spending Account
Health, Medical, and Wellness Benefits: FSA Dependent Care Spending Account
Health, Medical, and Wellness Benefits: Employee Assistance Program
Financial Benefits: Competitive 401K Plan
Financial Benefits: Loan Forgiveness Programs*
Financial Benefits: Referral Bonus
Professional Development: Tuition and Training Reimbursement
Professional Development: Agency Wide Training
Professional Development: Master Class Subscription
Get Involved: Employee Recognition Programs

Company

Sunrise Community Health

twittertwittertwitter
company-logo
Sunrise Community Health is a nonprofit organization that provides behavioral health, dental care, pharmacy and patient education services.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
U.S. Department of Health & Human Services
2023-11-06Grant

Leadership Team

leader-logo
Mitzi Moran
Chief Executive Officer
linkedin
leader-logo
Harlan David
Assistant Chief Clinical Officer
linkedin
Company data provided by crunchbase