Enrollment Specialist - bilingual English/Spanish required

About the role

STRIDE Community Health Center is a Federally Qualified Health Center with over 35 years of experience serving the Denver Metro area. We offer a wide variety of medical assistance programs including Medicaid, Child Health Plan+, Medicare Savings, Title X, RWG, SDP, STRIDE Discount, and Connect for Health Colorado. Our mission is to foster wellness and address the unique needs of every person, ensuring no one is left behind.

General Purpose

The Enrollment Specialist works under the supervision of the Program Enrollment Manager to perform registration and financial screening functions. The goal is to determine eligibility for medical coverage under various health care assistance programs. The role adheres to STRIDE’s mission and values of community, trust, value, and compassion.

Essential Duties/Responsibilities

• Researches and verifies patient eligibility for different programs and insurance coverage
• Registers and interviews patients to obtain accurate and complete demographic and financial information
• Informs patients about the availability of governmental funded and discount programs
• Completes enrollment applications through electronic and manual systems
• Provides case management services for individuals and families on public insurance
• Completes redeterminations and SEP reporting
• Identifies and corrects enrollment discrepancies
• Maintains the protection and security of personal, confidential, and identifiable information
• Maintains knowledge and expertise in program eligibility, enrollment, and program specifications
• Interprets and communicates federal, state, and eligibility criteria, policies, and procedures
• Collaborates with the Patient Accounts team to ensure timely account adjustments
• Records and communicates the outcome of the screening to the patient
• Reviews and completes monthly pending and self-pay reports to close out any outstanding tickets in patient accounts
• Provides excellent customer service to patients and employees
• Contributes to the daily workflow with regular and punctual attendance
• Performs related or other assigned duties as required or directed
• Maintains an accuracy rate of 90% on each program audit

Non-Essential Duties/Responsibilities

• Attends meetings as required
• Evening and weekend hours are required
• May be required to work at other clinics within STRIDE’s service area

Education and Experience

• Required: High school diploma or GED
• Required: Bilingual in English/Spanish
• Required: Must have or obtain BLS/CPR within 60 days of hire
• Experience working in an office setting or clinical setting preferred
• Knowledge of the health and human services infrastructure, health insurance programs, and public coverage options preferred

Knowledge, Skills and Abilities

• Ability to interact positively and build rapport with patients, coworkers, and external agency contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Ability to work from procedure manuals
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDE’s diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office Products
• Must be able to read and interpret documents
• Must possess the ability to write routine reports and correspondence
• Must possess the ability to interact respectfully with diverse cultural and socio-economic populations

Material and Equipment Directly Used

• Computer, printer, multi-line telephone systems, fax machine, copy machine, calculator, electronic health record, and all Microsoft Office products including Outlook, Excel, and the internet

Working Environment/Physical Activities

• Work is performed in an office environment within a clinical setting
• Duties will require travel throughout the organizations service area
• Enters data into computer programs via computer, mouse, and keyboard
• Moves about the office environment and occasionally to other locations
• Communicates information to others
• Discerns/analyzes information from others to assist in decision making

STRIDE Values

• Community: All are welcome at STRIDE - our patients are the center of our work
• Trust: Our patients feel safe, empowered, and supported
• Value: We respond to patients’ needs by providing effective, affordable care
• Compassion: We treat patients with kindness, empathy, and dignity

Salary Range

A competitive hourly range of $20.00-$22.00, depending on experience, education, budget, internal equity, specialty, and training.

Benefits

• Medical, dental, and vision coverage
• Paid time off (PTO) and holidays
• Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options
• 401(k) with matching
• Work-life balance
• NHSC Loan Repayment
• Tuition reimbursement and/or Continuing Medical Education (CME)
• No nights, weekends, or major holidays
• Employee Assistance Program (EAP)
• Employee Discounts on top attractions, hotels, more

Equal Opportunity Employer

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.

ADA Compliance

To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Health and Safety Commitment

All new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.