Enrollment & Eligibility Specialist

Honor Community Health; Pontiac (MI); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401k with company match

Medical, Dental and Vision insurance

Paid Time Off

Paid Holidays

Job summary

Honor Community Health seeks an Enrollment & Eligibility Specialist to assist patients in obtaining health coverage through Medicaid, Healthy Michigan Plan, CHIP, and Marketplace plans. This in-person role reports to the Program Manager and collaborates with clinical and administrative teams to improve access to care.

The candidate brings knowledge of eligibility guidelines, strong communication, and a patient-centered approach, with a focus on culturally sensitive service for diverse

Qualifications

• High school diploma or equivalent required.
• Associate's degree preferred; two years of relevant work experience may substitute for the degree.
• Knowledge of Medicaid, Healthy Michigan Plan, Marketplace enrollment, and other public assistance programs.
• Strong understanding of healthcare insurance terminology and eligibility processes.
• Excellent communication and interpersonal skills with diverse populations.
• Ability to provide compassionate, culturally sensitive, and patient-centered service.

Responsibilities

• Assist uninsured/underinsured patients in obtaining and maintaining health coverage.
• Navigate eligibility and enrollment processes while ensuring compliance with guidelines.
• Collaborate with clinical, administrative, hospitals, and community partners to improve access to care.
• Advocate for patient access to healthcare services.
• Maintain confidentiality and handle sensitive information professionally.

Skills

Medicaid eligibility

Enrollment processes

Communication

Organizational skills

Confidentiality

Microsoft Office

Data entry

Bilingual Spanish

Education

High school diploma or equivalent

Associate's degree in healthcare administration, social services, public health, or related field

Tools

Epic

Job description

Full Enrollment & Eligibility Specialist Job Description (click to view)
Honor Community Health is a 501c3 Federally Qualified Health Center co-located within 20 locations. Our mission is to provide for the health and wellness needs of the underserved of Oakland County through the provision of comprehensive, integrated primary, behavioral health, and dental care. We serve all populations regardless of their ability to pay. Our team is passionate about serving the people of Oakland County.

IMPORTANT:All applications MUST be completed in its entirety to be considered.

*NOTE: COVID -19 Vaccinations are recommended.
*NOTE: this is a fully in-person position

Position Description

Reporting to the Program Manager, the full-time, non-exempt Enrollment & Eligibility Specialist assists uninsured and underinsured patients in obtaining and maintaining health coverage through Medicaid, Healthy Michigan Plan, Children's Health Insurance Program (CHIP), Marketplace insurance plans, and other available public and financial assistance programs. This role serves as a patient advocate, helping individuals navigate complex eligibility and enrollment processes while ensuring compliance with federal, state, and organizational guidelines. The specialist works collaboratively with clinical, administrative, hospitals, and community partners to improve access to healthcare services and support Honor Community Health's mission of providing comprehensive, patient-centered care.

What are we looking for?

• A High school diploma or equivalent is required.
• Associate's degree in healthcare administration, social services, public health, or related field preferred. Two (2) years of relevant work experience may be substituted for the degree requirement.
• .Knowledge of Medicaid eligibility guidelines, Healthy Michigan Plan, Marketplace enrollment, and other public assistance programs
• Strong understanding of healthcare insurance terminology and eligibility processes.
• Excellent communication and interpersonal skills with diverse populations.
• Ability to provide compassionate, culturally sensitive, and patient-centered service.
• Strong organizational skills and attention to detail.
• Epic experienced preferred.
• SOAR Certification preferred.
• Ability to manage multiple priorities while meeting deadlines.
• Proficiency with Microsoft Office applications and data entry systems.
• Ability to maintain confidentiality and handle sensitive information professionally.
• Bilingual skills (Spanish) are preferred.

What do we Offer?

• Competitive Wages
• 401k with company match
• Medical, Dental and Vision insurance
• Employer Paid Life Insurance
• Employer Paid Short-Term and Long-Term Disability Insurance
• 4-6 Weeks Paid Time Off for Full-Time Employees
• Paid Time off for Part-Time Employees
• PaidHolidays and Floating Holiday
• Paid Bereavement Leave
• Parental Leave
• LifeMart Discount Program for all employees
• Continuing Medical Education (CME) Allowance for Clinicians
• Free Malpractice Insurance
• License Reimbursement
• Free Employee Assistance Program
• Public Service Loan Forgiveness to all Full-Time Employees
• National Health Service Corp (NHSC) for licensed health care providers and offers up to $50,000 toward student loans

Why work for Honor?

• Honor is a patient directed and community driven Federally Qualified Health Center.
• We ensure that patients come first by providing enabling services to assist patients with specific barriers to care such as transportation, translation, food security, and other social services.

Please note the selected candidate will be required to submit to a criminal record check, financial background check, and reference check.