Community Health Enrollment Navigator

Pueblo Community Health Center, Inc.; Pueblo (CO); Hybride; USD 38 000 - 52 000; Plein temps

Résumé du poste

Pueblo Community Health Center is seeking an Outreach and Enrollment Representative to provide outreach for community residents who lack access to health coverage, and to enroll and follow up on applications, increasing access to primary care, dental and behavioral health services.

The position reports to the Outreach and Enrollment Manager; occasional local travel is required; bilingual (Spanish) is preferred.

Qualifications

• High School Degree or GED.
• Two or more years of office and/or customer service experience.
• Experience in a healthcare environment and/or with programs for low-income populations preferred.
• Equivalent combination of post-secondary education and experience may be considered.
• Valid driver's license and auto insurance as required by law.

Responsabilités

• Ensure the function and activities of this department embrace the philosophy, mission, values and Communicate with Heart service model supported by the Board of Directors of Pueblo Community Health Center, Inc.
• Participate in training and educational opportunities related to the Affordable Care Act.
• Marketplace, CHP+, and Medicaid enrollment standards and competencies.
• Demonstrate and maintain expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; needs of underserved populations; privacy and security standards.
• Demonstrate outreach to uninsured residents and non-health center patients who access healthcare in Pueblo.
• Adhere to guidelines and procedures of PCHC.
• Register patients to PCHC on correct insurance programs or medical discount programs.
• Determine eligibility for CICP, Family and Adult Medicaid, and CHP+ programs.
• Uphold CICP, CHP+, and Medicaid rules; PE rules and regulations.
• Assist patients in accessing the medical system.
• Inform patients of guidelines for using medical and dental services.
• Maintain patient records to meet audit requirements.
• Participate in departmental training; train new staff as needed.
• Maintain walk-in registration policies and discharge policies.
• Participate in departmental and General Staff Meetings.
• Perform other related duties as assigned.

Connaissances

Leadership

Advocacy

Communication

Research

Problem solving

Cultural sensitivity

Spanish (basic)

Independent work

Interpersonal skills

Customer service

Medicaid enrollment explanation

Reading/writing

Organization

Mathematical reasoning

Computer skills

EHR systems

MS Office

Formation

High School Degree or GED

2+ years office/customer service experience

Healthcare environment preferred

Equivalent combination of education and experience

Valid driver's license and auto insurance

Outils

Electronic Health Records (EHR)

MS Office

Database utilization

Computer systems applications

Description du poste

Pueblo Community Health Center is seeking an Outreach and Enrollment Representative to provide outreach for community residents who lack access to health coverage, and to enroll and follow up on applications, increasing access to primary care, dental and behavioral health services.

The position reports to the Outreach and Enrollment Manager; occasional local travel is required; bilingual (Spanish) is preferred.