Enrollment Services Specialist_

Colorado Springs

Enrollment Services Specialist

Summary

Title:Enrollment Services Specialist

ID:0425-4424

Department Location:APRN Fellowship Program, 225 S. Union Blvd, Colorado Springs, CO 80910

Category:Administrative / Clerical / Skill Trades

Description

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $16.00 to $23.20 /hourly, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD

• 403(b) Retirement with Company Match

• Paid Time Off

• Tuition Assistance

• Perks Rewards

• Employee Assistance Program

eakvista.org/resources/benefits-summary

Job Summary: Responsible for providing excellent, compassionate, and empathetic customer service to our patients. Performs a variety of enrollment and insurance screening functions with the objective of determining eligibility for medical coverage according to the terms of numerous state and assistance programs. Job duties include new patient enrollment, processing sliding fee applications, and reviewing all paperwork and eligibility with each patient.

There are four separate functions performed by Enrollment Services Specialists: Greeters, Navigators, Technicians, and the Phone Team. Enrollment staff transition through these different functions as business needs require. Greeters are responsible for assessing the needs of the individuals. Greeters provide patient intake functions such as providing forms to patients and receiving documentation to complete applications. Navigators work with patients to complete documentation and prepare the patient for an eligibility screening with a technician. Navigators manage technician schedules and reconcile application counts. Technicians’ complete eligibility applications with patients and guide patients through the insurance exchange process. The Phone Team answers calls regarding patient coverage status, payer contract, and billing questions. Phone Team staff make appointments and register patients to practice management systems.

Essential Duties and Responsibilities:

+ Determining and processing private insurance, Medicaid, CHP+, and other state programs.

+ Verifying all health insurances on the Webportal and registering patients who currently have insurance.

+ Reviewing all paperwork and eligibility with each patient.

+ Responsible for data entry into practice management systems.

+ Answers calls regarding patient coverage status, payer contract and billing questions, transferring calls to appropriate departments and other patient service duties.

+ Makes appointments for enrollment and clinics, performing the necessary intake functions for arriving patients and cash handling.

+ Supports many internal departments by providing quality customer service.

+ Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.

+ Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.

+ Embraces cultural diversity amongst ourselves and our community.

+ Responsible for the human, financial, and material resources as well as data and information entrusted to us.

+ Strives to deliver the best outcomes and highest quality service.

+ Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.

+ Enhances the effectiveness, efficiency and productivity of the department by contributing to, and participating in, departmental performance improves goals.

+ Other duties as assigned.

Supervision Exercised: None

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Education: High school diploma or equivalent education.

Work Experience: Six months customer service experience preferred. Spanish bilingual preferred.

Computer Skills: Basic – ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; enter and correct data, modify a workbook, format a worksheet, and use printing functions; create a simple presentation in PowerPoint, run it, and print it.

Certificates and Licenses: CPR Certification to be obtained within the first 90 days of employment.

Work Environment:

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.

OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Two. See Exposure Control Plan for details.

The noise level in the work environment is usually quiet.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk.

*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace an an Equal Opportunity Employer.

**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com.