Enrollment Specialist

Socket.dev; Dover (DE); On-site; USD 36,000 - 48,000; Full time

Job summary

Westside Family Healthcare is seeking Enrollment Specialists in Delaware to help uninsured patients access affordable healthcare through Medicaid, CHIP, the Health Insurance Marketplace, and related programs. You will educate patients, assist with applications, and connect individuals to community resources during statewide outreach events.

Role requires strong organization, bilingual abilities (English/Spanish or other language), and travel between centers.

Qualifications

• High school diploma or GED is required.
• Six months or more of experience using Microsoft Office (Word, Excel, Outlook).
• Fluency in written and spoken English and Spanish or English and another language spoken by a majority of our patient population.
• Valid driver’s license, reliable transportation and ability to travel between work locations and outreach events.

Responsibilities

• Provide access to financial support for health care services, including the Health Insurance Marketplace.
• Explain program eligibility criteria and enrollment processes for financial assistance programs.
• Explain health programs that increase health care access and connect patients with resources.
• Assist with program application completion and document collection, liaising with program administrators.
• Complete Certified Application Counselor or Navigator certification during initial training and maintain annually.
• Prepare timely, detailed reports of patient activities and outreach events.
• Protect patient information, ensuring confidentiality per HIPAA regulations.
• Travel statewide to outreach events typically 2–4 times per month.
• Attend required meetings and trainings and develop knowledge of community resources.
• Provide information on the importance of primary and preventive care during interactions.

Skills

Microsoft Office

Bilingual EN/ES

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Description

WESTSIDE IS LOOKING FOR ENROLLMENT SPECIALISTS!

JOIN A CARING, DEDICATED TEAM WHO HELPS PATIENTS AND FAMILIES GAIN ACCESS TO HEALTHCARE, AND NAVIGATE COMMUNITY SERVICES AND RESOURCES.

Enrollment Specialists work to remove financial barriers to healthcare by connecting uninsured people, including Westside Family Healthcare (WFH) patients, to programs that make healthcare more affordable. In addition to providing education about affordable health care coverage options through one-on-one interactions and outreach events, Enrollment Specialists provide assistance with the application and enrollment process for State and Federal insurance affordability programs. These programs include Medicaid, CHIP, the Health Insurance Marketplace, Health Care Connection (HCC) and Screening for Life (SFL). Additionally, Enrollment Specialists assist WFH patients with enrollment in our sliding fee scales and external medication assistance programs. Strong organizational skills are required.

Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.

WORKING AT WESTSIDE MEANS WORKING IN A PRIMARY CARE MEDICAL HOME

A Primary Care Medical Home is not a special building. It is a way to provide healthcare that puts the patient at the center of health care decision-making. As a community health center, Westside Family Healthcare provides care for everyone who walks through our doors.

Our Mission: To improve the health of our communities by providing equal access to quality healthcare

Our Vision: Achieve health access for all

Our Values:

• Compassion: Lead with compassion
• Service: Serve with humility
• Excellence: Be exceptional
• Empowerment: Empower all people

OUR BENEFITS: Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase more paid, short-term disability paid for by Westside, long term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.

CORE RESPONSIBILITIES

1. Provide assistance to WFH patients and consumers who need access to financial support for health care services, including the Health Insurance Marketplace
2. Help individuals understand program eligibility criteria and the application process for various financial assistance programs that help to make health care more affordable
3. Explain other health programs that increase health care access for which the patient or consumer may qualify and connect them with resources for program enrollment
4. Assist with program application completion, identifying and obtaining required documentation and serve as a liaison with the program administrator to complete the enrollment process
5. Successfully complete Certified Application Counselor or Navigator certification during the initial training period and maintain annually thereafter
6. Complete timely, detailed reports for all patient/consumer activities and outreach events
7. Protect patient and consumer information to ensure that confidentiality is maintained in accordance with HIPAA regulations
8. Travel to and participate in statewide outreach events as needed, typically 2-4 times per month
9. Attend all required meetings and trainings
10. Develop extensive knowledge of health care and social service resources available in the community
11. Provide information on the importance of primary and preventive care during one-on-one interactions and at community outreach events throughout the state

Requirements

1. High school diploma or GED
2. Six months or more of experience using Microsoft Office software suite (Word, Excel, Outlook)
3. Fluency in written and spoken English and Spanish or English and another language spoken by a majority of our patient population
4. Valid driver’s license, reliable transportation and ability to travel independently between work locations, including external outreach events