Enrollment Specialist

Westside Family Healthcare Inc; Dover (DE); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance paid by Westside

Short-term disability

Long-term disability paid by employee

401(k) with match

Supplemental insurances

Generous PTO package

Work/life balance

Equal Opportunity Employer

Job summary

Westside Family Healthcare is seeking Enrollment Specialists to help patients access affordable healthcare through Medicaid, CHIP, and Marketplace programs. You will educate clients, assist with applications, and navigate state and federal enrollment processes across Delaware.

Join a compassionate team committed to removing financial barriers and coordinating care, education, and referrals in community settings. Bilingual in English/Spanish preferred.

Qualifications

• Six months or more of experience using the Microsoft Office software suite (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 with reliable transportation and ability to travel between work locations, including outreach events.

Responsibilities

• Provide assistance to patients needing access to financial support for health care services, including the Health Insurance Marketplace.
• Educate clients on program eligibility and the enrollment process for Medicaid, CHIP, Marketplace, and other financial assistance programs.
• Explain health programs and connect patients with resources for enrollment.
• Assist with program applications, gather required documentation, and liaison with program administrators.
• Complete Certified Application Counselor or Navigator training during initial period and maintain annually thereafter.
• Prepare timely, detailed reports for patient activities and outreach events.
• Protect patient information in compliance with HIPAA.
• Travel statewide for outreach events, typically 2–4 times per month.
• Attend required meetings and trainings.
• Develop knowledge of local health care and social service resources.
• Provide information on primary and preventive care during interactions and outreach.

Skills

MS Office

Bilingual EN/ES

Education

High School Diploma or GED

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

• 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
• supplemental insurances
• We offer a generous PTO package
• 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