Enrollment Specialist (Grant Funded)

OLE Health; Fairfield (CA); On-site; USD 38,000 - 46,000; Full time

Benefits offered by this job

Medical, Dental, Vision Coverage

403(b) retirement plan

PTO 18 days

Holiday pay

Tuition Reimbursement up to $2,000/yr

Life & Accidental Insurance

FSA/Limited FSA

Job summary

OLE Health is seeking an Enrollment Specialist for a grant-funded position in Fairfield, CA. This full-time role focuses on assisting community members with enrollment in health coverage programs and determining eligibility.

The position requires bilingual English/Spanish communication and strong data entry and reporting abilities. The Enrollment Specialist will work within Enrollment Services to support patients, coordinate with county eligibility resources, and maintain accurate records in the

Qualifications

• College degree or high school diploma with 2 years related work experience.
• Experience in health care setting is preferred.
• Bilingual Spanish and English is required for this role.
• Excellent communication, organizational, and problem-solving skills.

Responsibilities

• Welcome and assist new and existing community members with access to enrollment in health coverage programs.
• Determine eligibility for health coverage programs or plans.
• Maintain accurate patient records in the electronic health record system.
• Generate regular reports on enrollment activity and outcomes.
• Coordinate with County eligibility representatives and other departments to assist patients with applications and follow-up.

Skills

Bilingual Spanish & English

Customer service

Microsoft Office

Interpersonal skills

Education

College degree or high school diploma with 2 years related work experience

Tools

EHR System

Eligibility systems

Job description

Position Title

Enrollment Specialist (Grant Funded)

Department

Enrollment Services

Reports To Title

Enrollment Services Supervisor

DLSE/FLSA STATUS: ( ) ____Exempt/Salaried position __X__Nonexempt/Hourly position

SUPERVISORY RESPONSIBILITIES ( does this position have direct reports ):

YES NO

LOCATION: West Fairfield, CA

SCHEDULE: Full Time; Monday- Friday; 40 hrs./week

PAY RANGE: $27.42 to $33.51 hourly

GRANT FUNDED

This position is grant-funded and contingent upon the availability of grant funding. At this time, the exact end date is unknown, as it depends on the duration and continuation of the grant. Should funding come to an end, we will provide as much advance notice as possible to allow for adequate planning and transition.

About OLE Health

Established in 2023, OLE Health (previously CommuniCare+OLE) is the result of a union of two health centers with deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, OLE Health is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.

Benefits

• Medical, Dental, Vision Coverage
• Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
• 18 days of PTO (Vacation & Sick)
• 10 Paid Holidays + 1 Float Holiday
• 2% employer match with employee 4% Contribution 403(b) retirement plan
• Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
• Life & Accidental Insurance Coverage
• Employer contribution for Health Savings Account
• Flexible Spending Account (FSA) and Limited FSA Options

Job Summary/Overview

The Enrollment Specialist is responsible for welcoming new and existing members of the community with facilitating patient access to affordable quality health care. Enrollment specialists assist with determining eligibility for health coverage programs or plans.

OLE Health provides an inclusive workplace that promotes and values diversity and life experience.

OLE Health encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples ,

people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of

all ages and religions, and individuals who have been affected by the legal system.

YOU ARE WELCOME HERE.

***The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason. ***

Education:

College degree or high school diploma with 2 years related work experience

• Experience/Lived Experience:
• 2 years’ directly related e xperience in a social service agency, health care organization, or medical office.
• Data collection and analysis experience preferred.
• Special Skills/Training:
• Customer service skills in health care setting
• Excellent computer skills and efficient use of all Microsoft Office Software
• Excellent telephone and face-to-face communication skills (Spanish and English required)
• Demonstrate active listening and problem-solving ability
• Excellent organizational skills
• Required to have versatility, flexibility and a willingness to work within constantly changing priorities with enthusiasm and have acute attention to detail.
• Expected to have strong interpersonal skills and can understand and follow written/verbal instructions.
• Ability to work independently with little or no supervision.
• Ability to deal effectively with a diversity of individuals at all organizational levels and with external customers required.
• Ability to operate office equipment, including computer and copier equipment.
• Must be able to sit or stand for long periods of time, with occasional walking.
• Ability to bend, lift and carry up to 25 pounds. Must be able to load, unload, set up and take down outreach equipment, including canopies and folding tables.
• Must be available to work weekends and evenings.
• Must be able to provide own transportation to different sites.

Essential Functions And Responsibilities

Knowledge of Federally Qualified Health Centers and the key health center principles and guidelines

Knowledge of EHR System

Knowledge of Medi-Cal and self-sufficiency program eligibility guidelines

Ability to assess needs and ask appropriate questions to obtain needed information for enrollment assistance

Knowledge of in-reach strategies to capture uninsured patients and enroll them in coverage programs

Responsible for creating and updating patient records in electronic health record

Responsible for greeting patients and driving a positive patient customer service experience by assessing all patient needs

Responsible for extensive knowledge of programs/insurances & access/eligibility guidelines & applications

Answer any questions regarding OLE Health resources, sites and services

Responsible for working with all departments to identify uninsured patients who need specialty care and need to apply for charity care at hospitals or other healthcare facilities.

Conducts chart review for patients seeing providers in Perinatal and Primary Care to determine clients who need assistance with their health coverage.

Responsible for producing regular reports on activity and outcomes

Works with County eligibility representative to assist patient and their families with completing and submitting the appropriate health insurance application/s, including assistance with gathering necessary documents

Advocates for patients to out-stationed county Eligibility Workers for completion of application process when appropriate.

Runs reports of billing claims for uninsured patients and screens for coverage programs, if enrolled adds payor as necessary.

Act as a resource to all clinic staff regarding third party payor programs and public charge and immigration issues relating to health care benefits.

Assist in training staff on eligibility requirements, application process, and benefits of enrollment in third party programs and health care coverage.

Attends health fairs, meetings, and other community events to inform the community about the various health care coverage options.

Responsible for precise data entry of patient information into tracking systems in a timely manner

Maintains patient renewal requirement data, contact families before their health plan renewal is due to prevent gaps in coverage and/or loss of insurance

Assists patients with accessing financial and/or community resources when referred to outside medical providers or medical service

Attends meetings and trainings as needed to maintain up to date knowledge of services in OLE Health, State application assistance rules/guidelines, and community resources

Performs other duties as assigned.