Enrollment & Outreach Coordinator

About the role

The Enrollment and Outreach Specialist oversees the timely access of care for all patients assigned to Universal Community Health Clinic. This includes overseeing the effective enrollment of new patients into coverage plans, conducting renewals for Medi-Cal and other programs, and outreach to new business geographies and communities.

Responsibilities

• Aid patients with completing applications and forms for Medi-Cal, private insurance, and other county/state health programs.
• Screen patients for insurance eligibility and provide guidance on available programs and benefits.
• Conduct renewals for Medi-Cal and other programs on an annual or required basis to retain coverage.
• Review monthly enrollment reports and assign staff to ensure that all newly assigned patients are given an opportunity to receive timely care at Universal Community Health Clinic.
• Track enrollment progress and follow up promptly on pending applications or issues.
• Educate patients on financial assistance, sliding fee scales, documentation requirements, and program eligibility.
• Participate in community outreach and enrollment activities as needed.
• Collaborate with clinicians and administrative staff to identify patients who may qualify for financial assistance.
• Maintain accurate documentation in EHR systems.
• Attend trainings (e.g., CHAMP-Net) and meetings as directed to stay current on program updates.
• Provide professional, empathetic service to all patients, including those who may not qualify for coverage.
• Demonstrate understanding of organizational policies and procedures and maintain confidentiality in accordance with HIPAA.
• Review disenrollment reports and assign staff for outreach and enrollment efforts to maintain eligible patient’s coverage through various plans and programs.
• Work with appointment staff to ensure that appointment slots are available for patients requiring enrollment services.
• Participate in enrollment, in-reach and outreach activities directly maintaining a schedule for patients and events as needed.
• Works as a member of the Managed Care Team to coordinate performance goals, patient experience and clinical quality.
• Prepare regular reports to demonstrate outreach strategies and goals, enrollment status and department productivity.
• Demonstrate understanding of UCHC policies and procedures.
• Interact with patients, physicians, staff, vendors, and visitors in ways that demonstrate caring and reflect the UCHC mission and philosophy.
• Attend UCHC meetings as required.

Requirements

• High School Diploma or GED (required)
• One year experience in a non-profit clinic/community service setting preferred.
• Enroller Certificate through Covered California (Preferred)
• Knowledge of community clinic operation.
• Knowledge of medical terminology, insurance programs and requirements.
• Must be able to learn quickly, in a fast-paced environment.
• Possess interpersonal skills to interact diplomatically with staff and difficult clients.
• Extensive customer care management background and understanding of the dynamics in delivering high quality patient services in a changing environment.
• Must be able to work with a very diverse group of patients in a non-judgmental manner.
• Possess strong verbal and organizational skills.
• Reliable transportation to and from Outreach events.
• Bilingual in English and Spanish required.

Skills

• Knowledge of community clinic operation.
• Knowledge of medical terminology, insurance programs and requirements.
• Must be able to learn quickly, in a fast-paced environment.
• Possess interpersonal skills to interact diplomatically with staff and difficult clients.
• Extensive customer care management background and understanding of the dynamics in delivering high quality patient services in a changing environment.
• Must be able to work with a very diverse group of patients in a non-judgmental manner.
• Possess strong verbal and organizational skills.

Benefits

Not specified

Pay

$25.00/Hour

Schedule

Not specified