Patient Resources Coordinator Float (Weekends Required)

CHAS Health; United States; On-site; USD 33,000 - 47,000; Full time

Benefits offered by this job

Annual milestone bonus

Job summary

CHAS Health in the United States is seeking an enrollment specialist to educate patients about CHAS services and assist with enrollment in Medicaid, CHIP, and Qualified Health Plans. You will help patients navigate state marketplaces and community resources, and communicate plan rules and costs.

The role involves reviewing patient eligibility, assisting with enrollment, and supporting outreach programs while training staff on current insurance topics.

Qualifications

• Excellent verbal and written communication required.
• Basic computer and typing skills required.

Responsibilities

• Enrolls patients in Medicaid, CHIP, and qualified health plans through state marketplaces.
• Educates patients about CHAS services, plans rules, and patient responsibilities.
• Reviews insurance coverage and out-of-pocket costs; submits prior authorizations when needed.
• Performs outreach to communities and trains staff on insurance-related issues.
• Tracks enrollments and managed care related activities regularly.

Skills

Verbal & written communication

Computer literacy & typing

Education

High school diploma or equivalent

Job description

Working Here | Experience Serving Your Community If you are looking to foster a fulfilling career path while serving your community, you are in the right place. All careers at CHAS Health allow you to make an impact on patient’s lives and our greater community. No matter what clinic or location you join, you become a part of the bigger picture – providing trustworthy, patient-centered, and attentive care to anyone who walks through our doors. We continue to expand operations and are regularly looking for talented and dedicated individuals to help us continue to make a difference in patient lives. Challenging the status quo starts with you – get started today.

Everyone Welcome From the beginning, we strongly believe that all people have the right to high-quality health care. Our goal is to remove barriers to care and provide high-quality, evidence-based care in a place that is convenient – in your neighborhood. We believe everyone deserves to be treated with dignity and respect regardless of their situation.

Compensation Range: $23.75 - $33.86

Check out our work perks here!

Competitive Compensation & Exceptional Benefits at CHAS Health

Join a workforce that values your expertise as much as your wellbeing! CHAS Health's comprehensive compensation package* includes:

• Annual milestone bonus for all eligible employees! $500 for every year worked, up to $5,000.
• Robust health coverage with employer-offered medical, dental, vision, long-term care, and life insurance.
• 401(k) with up to 6% employer match for a retirement plan that invests in your future.
• Work/life balance—enjoy more than six (6) weeks of paid time off (PTO) annually for full-time employees, to recharge and refresh.
• Tuition assistance and student loan repayment—let CHAS Health pay for your education! Up to $7,500 for childcare annually through reimbursement, to help you balance work and family life.
• CME and license fee reimbursement—we've got you covered.

*Offered benefits dependent upon employee eligibility and criteria

Job Description: Purpose of Job: Improve the overall health of the communities we serve by enrolling, educating patients about CHAS services and community resources, and overseeing the management of patients assigned to or eligible for CHAS managed care contracts as follows:

Essential Duties and Responsibilities

Works with a mixed patient population, across gender, age and ethnicity as well as insured and uninsured patients. Reviews patient demographics to determine eligibility for various health insurance, assistance programs, and community resources. Enrolls patients in Medicaid, CHIP, Qualified Health plans, and Qualified Dental plans through the state insurance marketplaces. Enrolls patients in various assistance programs including food assistance, cash assistance, Medicare Savings program, childcare assistance, and Low-Income subsidy. Acquires a thorough working knowledge of managed care programs including their value-added benefits and scope of coverage. Educates patients regarding proper utilization of insurance plans. Reviews dental treatment plans, advises patient of insurance coverage and out-of-pocket costs, submits prior authorization for dental treatment when required. Educates new patients on scope of CHAS Health services, clinic and plan rules, and patient responsibility. Participates in outreach programs throughout the community. Provides training for staff on current insurance, managed care, and resource related issues. Tracks enrollments, managed care conversions, and other activities on a regular basis. Performs other duties assigned, including supporting the CHAS Health Mission and Core Values.

Qualifications

• Education/Experience: High school diploma or equivalent required.
• Health industry experience strongly preferred.
• Experience working with medical insurance very helpful.
• Face-to-face customer/patient service experience required.

Skills

• Excellent verbal and written communication.
• Basic computer and typing skills required.

Dependent on clinic location, Washington Healthplanfinder navigator certification or Your Health Idaho Enrollment Counselor certification required within 90 days of hire. Commitment to supporting a safe and respectful environment is required.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk, hear and sit. The employee is occasionally required to move around the facility; use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Our Core Values

• Social Responsibility
• Patient-Centered
• Entrepreneurship
• Respect for Human Dignity
• Commitment to Continuous Quality Improvement
• Fun

Equal Employment Opportunity

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at CHAS Health will be based on merit, qualifications, and abilities. CHAS Health does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity and expression, sexual orientation, national origin, age, disability, or any other characteristic protected by law.

If you are looking to foster a fulfilling career path while serving your community, you are in the right place. All careers at CHAS Health allow you to make an impact on patient’s lives and our greater community. No matter what clinic or location you join, you become a part of the bigger picture – providing trustworthy, patient-centered, and attentive care to anyone who walks through our doors. We continue to expand operations and are regularly looking for talented and dedicated individuals to help us continue to make a difference in patient lives. Challenging the status quo starts with you – get started today.