Bilingual Healthcare Enrollment Specialist

Center for Family Health and Education; Los Angeles (CA); Vor Ort; USD 42.000 - 56.000; Vollzeit

Zusammenfassung

Center for Family Health and Education (CFHE) in Los Angeles is seeking an Enrollment Specialist to expand patient access by assisting with health insurance applications, renewals, and coverage maintenance across Medi-Cal, Covered California, and related programs.

The role supports patients and providers by maintaining enrollment records, conducting eligibility screenings, and guiding families through the enrollment process.

Qualifikationen

• High school diploma or equivalent; associate or bachelor's degree preferred.
• At least two (2) years of experience in patient access, enrollment, or related healthcare administrative role.
• Certified Enrollment Counselor (CEC) certification required within 90 days of hire.
• Knowledge of Medi-Cal, Covered California, and other public assistance programs.
• Proficiency with Microsoft Office and EHR systems (Athenahealth or NextGen preferred).
• Ability to communicate effectively with diverse populations; bilingual English/Spanish strongly preferred.
• Must possess a valid California driver's license and reliable transportation for outreach activities.

Aufgaben

• Assist patients and families in understanding and applying for health coverage including Medi-Cal, Presumptive Medi-Cal, FPACT, EWC, and Covered California programs.
• Conduct eligibility screenings and ensure all required documentation is accurate and submitted promptly.
• Provide patient education and outreach on available health coverage options and preventive care benefits.
• Help patients maintain insurance coverage by assisting with renewals and re-determinations to prevent lapses.
• Support provider network participation by completing payer enrollment applications and ensuring timely renewals for Medi-Cal, Medicare, and commercial plans.
• Track and maintain accurate provider enrollment records and credentialing documentation to ensure compliance with payer requirements.
• Work with clinic and outreach teams to identify uninsured or underinsured patients and connect them to coverage or financial assistance programs.
• Attend and participate in community events, health fairs, and educational sessions to promote CFHE's services and access to care initiatives.
• Respond to patient inquiries regarding insurance coverage, eligibility and available programs in a professional and compassionate manner.
• Ensure confidentiality and compliance with HIPAA and CFHE privacy policies in all patient interactions.
• Document enrollment activities, outreach efforts, and patient interactions in the electronic health record (EHR) and submit accurate monthly reports.

Jobbeschreibung

Center for Family Health and Education (CFHE) in Los Angeles is seeking an Enrollment Specialist to expand patient access by assisting with health insurance applications, renewals, and coverage maintenance across Medi-Cal, Covered California, and related programs.

The role supports patients and providers by maintaining enrollment records, conducting eligibility screenings, and guiding families through the enrollment process.