Spanish-speaking Health Home Enrollment Specialist

Optimum Connect Health Services; New York (NY); On-site; USD 32,000 - 34,000; Full time

Benefits offered by this job

Health, dental, vision insurance

Paid time off

401(k) retirement plan with company 匹

Job summary

Doral Health & Wellness is seeking a Health Home Enrollment Specialist to enroll eligible patients in health home and community-based programs across New York. This field-based role requires five days on-site travel across the five boroughs, engaging with diverse populations and supporting walk-ins and referrals.

The Enrollment Specialist coordinates outreach, completes enrollment applications, and ensures documentation compliance with state and organizational standards.

Qualifications

• High school diploma required; Associate or Bachelor’s preferred.
• Prior experience in health home enrollment is preferred.
• Knowledge of Medicaid guidelines is a plus.

Responsibilities

• Conduct patient outreach and intake for health home programs.
• Educate patients and families about health home services, benefits, and eligibility.
• Document outreach, eligibility verification, and enrollment activities in the electronic care management platform.
• Complete enrollment applications and ensure documentation is compliant with regulations.
• Verify insurance coverage and Medicaid eligibility.
• Collaborate with case managers, care coordinators, and providers to activate services.
• Maintain organized records and update EHR systems.
• Track enrollment progress and report to program manager.
• Attend community events to conduct enrollments for eligible individuals.

Skills

Strong communication

Interpersonal skills

Organizational skills

Travel readiness

Education

High school diploma

Associate or Bachelor’s preferred

Tools

Microsoft Office

ePACES

MAPP

eCW

PSYCKES

Foothold Care Management (FCM)

Job description

Doral Health & Wellness is a trusted, multi-specialty healthcare organization dedicated to providing compassionate and patient-centered care to diverse communities across New York.

We are currently seeking a Health Home Enrollment Specialist to join our growing team. This role is essential in helping eligible patients enroll in health home and community-based programs, ensuring they receive the services and support they need.

Position Overview

The Enrollment Specialist plays a vital role in connecting eligible individuals to the Health Home program, ensuring they receive the medical, behavioral health, and social support services needed to improve their overall well-being. This position serves as the first point of contact for prospective members, guiding them through the enrollment process with professionalism, empathy, and cultural sensitivity.

The Enrollment Specialist is responsible for identifying, screening, and enrolling Medicaid recipients into the Health Home program. This includes conducting outreach, explaining program benefits, obtaining consent, and coordinating the necessary documentation. The role requires strong communication and organizational skills, as well as the ability to engage with diverse populations—including individuals with complex medical and behavioral health needs.

This is a field- and community-based position that also requires being on-site at the office five days a week. The Enrollment Specialist must be comfortable traveling across the five boroughs to meet members where they are, in addition to supporting walk-ins, office-based referrals, and team collaboration on site.

Working closely with Care Managers, providers, and community partners, the Enrollment Specialist ensures a seamless transition from referral to active participation in care management services. This position is essential in meeting program enrollment goals while maintaining compliance with state and organizational standards.

Compensation & Benefits

• Competitive pay: $23-$25 per hour (commensurate with experience).
• Health, dental, and vision insurance.
• Paid time off (PTO), sick leave, and holidays.
• 401(k) retirement plan with company match.
• Life and disability insurance.
• Opportunities for professional growth and advancement.

Key Responsibilities

• Conduct patient outreach and intake for health home programs, ensuring all engagement is timely, meaningful, and progressive in nature.
• Educate patients and families about available health home services, benefits, and eligibility requirements.
• Document outreach, eligibility verification, and enrollment activities in the electronic care management platform (e.g., FCM, MAPP, ePACES, PSYCKES, eCW) according to BHH, DOH, and OMH standards.
• Complete enrollment applications and ensure all documentation is accurate and compliant with regulations.
• Verify insurance coverage, Medicaid eligibility, and required authorizations.
• Collaborate with case managers, care coordinators, and providers to support timely service activation.
• Maintain organized records and update electronic health record (EHR) systems.
• Submit timely closures for candidates whose outreach period has expired or who withdraw/opt-out, in line with BHH policy.
• Provide excellent customer service while addressing patient and family questions.
• Track enrollment progress and report outcomes to the program manager.
• Attend community and company events to engage with the community and conduct enrollments for eligible individuals.
• Conduct community-based and in-home visits across all five boroughs to support member engagement and enrollment.
• Provide excellent customer service, responding to patient and family questions with compassion and professionalism.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in health, business, or related field preferred.
• Prior experience in health home, healthcare enrollment, intake, or case management support strongly preferred.
• Knowledge of Medicaid guidelines, managed care, or community health programs a plus.
• Strong communication, interpersonal, and organizational skills.
• Proficiency in Microsoft Office and EHR or database systems. (ePaces, Health Commerce System (MAPP), eClinical Works (eCW), PSYCKES, Foothold Care Management (FCM).
• Ability to travel throughout the five boroughs for home and community visits via public transportation.

Why Join Doral?

At Doral Health & Wellness, you’ll be part of a mission-driven team that values compassion, teamwork, and community impact. As a Health Home Enrollment Specialist, your work directly helps patients access life-changing services and support.