Benefit Enrollment Specialist

Laclinicahealth; Medford (OR); On-site; USD 24,796 - 35,817; Full time

Job summary

La Clinica in Medford, OR is seeking a Benefit Enrollment Specialist to evaluate patients’ financial situations and guide them through DMAP eligibility and enrollment processes.

You will assist with applications, verify documents, and coordinate with DMAP and OHA, documenting statuses in EPIC while upholding patient privacy and care standards.

Qualifications

• Must be able to multi‑task and work with minimal supervision.
• Excellent interpersonal communication and problem‑solving skills.
• Bilingual in Spanish and English.
• Basic knowledge of Excel, SharePoint and Office Suite.
• Experience using electronic health records (EPIC).

Responsibilities

• Evaluate patients’ financial circumstances and identify potential resources.
• Assist patients with application submission and required verification.
• Document identity and citizenship per DMAP standards.
• Follow up to ensure timely submission and liaise with DMAP.
• Maintain confidentiality of patient information.
• Provide monthly status reports and participate in team meetings.

Skills

Interpersonal communication

Problem-solving

Bilingual Spanish and English

Excel

SharePoint

Office Suite

EPIC

Education

High School Diploma

Tools

EPIC

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medford, OR, US

4 days ago Requisition ID: 2078

Full-Time | Hourly

We’re committed to compassionate care for all. Our patients. Our employees. You.

At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place to build your career. We’re looking for the right team members to treat our patients with this level of care.

We extend our commitment to compassionate care to our employees as well. We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional

The Benefit Enrollment Specialist is responsible for evaluating the patient’s financial circumstances and providing information regarding potential resources to patients. The BES will assist patients with the submission or applications, obtain required verification, document identity and citizenship according to DMAP (Division of Medical Assistance Programs) standards, follow up with patients to assure timely submission and act as liaison with DMAP to eliminate barriers to eligibility determinations.

Accountabilities Include :

• Maintaining regular, consistent, and predictable punctuality and attendance, including being available, accessible, and able to complete all required essential functions and assigned job tasks onsite as directed during your regularly assigned schedule or your assigned site(s) normal business hours.
• Demonstrates knowledge of all aspects of medical assistance programs available through the Department of Human Services.
• Evaluates patient’s circumstances and assists with accessing the benefit most advantageous to the patient’s family circumstances.
• Assists patient with the completion of the application process, including assistance in obtaining necessary documents, and submission of applications to the OHA Central unit or other program related processing center.
• Follows up on pending applications and update EPIC with insurance status.
• Works with billing department to identify potential covered charges that can be billed to DMAP or other insurance carrier.
• Meets in person, with patients referred by reception or other clinic staff.
• Enrolls patients via phone or virtually.
• Determines eligibility for patient applying for CCARE and SCREENWISE and documents eligibility efforts in EPIC.
• Utilizes EXCEL and/or ACCESS program to track all patients potentially eligible for OHP, CHIP, and CAWEM. Provides monthly status reports to Management.
• Assists with the development and implementation of strategies to reach target populations; aid these groups with accessing medical benefits to support their ability to access ongoing medical care.
• Represents La Clinica at meetings and conferences, as directed.
• Maintains the confidentiality and privacy of patients, staff and the organization.
• Communicates effectively La Clinica’s mission and values to staff and clients.
• Follows workflows that result in capturing activities to meet patient engagement standards as outlined in the APCM program.
• Supports the development and implementation of standard workflow.
• Responsible for outreach efforts to ensure continuation of OHP eligibility and engagement in La Clinica services.
• Provides monthly status to direct supervisor.
• Other duties as assigned.

Expected abilities:

• Must be able to multi‑task, work effectively with team members and at times work independently with minimal supervision
• Will adhere to team agreements as well as assist with revisions as necessary
• Will accept the responsibility for educating and adhering to the policies and procedures of La Clinica and its associated departments and programs
• Will attend and participate in relevant department and clinic meetings
• Assist in the ongoing improvement of the clinic

Education and/or Experience :

Required:

• Minimum: High School Diploma
• Excellent interpersonal communication and problem‑solving skills
• Skills to intervene and promote reconciliation, compromise and positive outcomes in difficult interactions
• Basic knowledge of Excel, SharePoint and Office Suite
• Bilingual in Spanish and English
• Skilled at using electronic health records as applicable to area of work (EPIC)

Preferred:

• Basic knowledge of adult learning models
• Six months of experience in related field or training
• Skilled at using electronic health records as applicable to area of work (EPIC)

Equity Statement:

At La Clinica, we commit to engage everyone in a welcoming, respectful, and loving way and to maintain the dignity and value of all people above everything else. These standards align with our organization’s vision of absolute excellence, open‑hearted community, and well‑being for all.

Applications will be reviewed by the appropriate Department for interview; those selected must be able to provide proof of legal right to work in this country. La Clinica is a drug‑free work environment. Equal Opportunity Employer. La Clinica complies with the Americans with Disabilities Act. If you consider yourself disabled and desire assistance in the application process, please contact the Human Resources Department.