Job Description
Job Description
The Enrollment Counselor supports patients in gaining and maintaining access to health coverage through education, eligibility screening, and assistance with insurance applications and renewals. This position is primarily focused on ensuring renewals and enrollments are completed efficiently to meet department and organizational goals. The Enrollment Counselor works in a fast-paced environment, maintaining accurate records and coordinating with local, state, and county programs.
Benefits :
- Free Medical, Dental & Vision
- 13 Paid Holidays + PTO
- 403 (B) retirement match
- Life Insurance, EAP
- Tuition Reimbursement
- SEIU Union
- Flexible Spending Account
- Continued workforce development & training
- Succession plans & growth within
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 :
Certified Application Assistant (CAA Certificate) (Preferred)High School Diploma or GED (required)Experience :
Bilingual English / Spanish (Required)Familiar with Covered CA, Medi-Cal, Medi-Cal for FamiliesMust have two years CAA experienceEHR- Electronic Health Record experience (Preferred)PMS- Practice Management System experience (Preferred)Licensure / Certification :
Employees are responsible for maintaining individual certifications as required by job function or by law and provide verification and recertification when requested by management.Additional Requirements :
Reliable transportation and flexibility to travel between Los Angeles, San Bernardino, and Riverside Counties as needed.Flexibility to work evenings and weekends as needed for community events.Maintains personal appearance when interacting with patients, staff and physicians.Must be able to cope in a “fast pace” environment.ESSENTIAL DUTIES AND RESPONSIBILITIES
Performs a combination, but not necessarily all, of the following duties :
Assists patients in completing applications and forms for private insurance, Med-Cal, as well as other County or State health insurance programs.Assist patients with completing applications and forms for Medi-Cal, private insurance, and other county / state health programs.Screen patients for insurance eligibility and provide guidance on available programs and benefits.Conduct renewals for Medi-Cal and other programs on an annual or required basis to retain coverage.Track enrollment progress and follow up promptly on pending applications or issues.Educate patients on financial assistance, sliding fee scales, documentation requirements, and program eligibility.Participate in community outreach and enrollment activities as needed.Collaborate with clinicians and administrative staff to identify patients who may qualify for financial assistance.Maintain accurate documentation in EHR and PMS systems, including prescriptions, patient charts, and communication logs.Complete reports including productivity, Medi-Cal, PCP changes, and other compliance-related reporting.Attend trainings (e.g., CHAMP-Net) and meetings as directed to stay current on program updates.Provide professional, empathetic service to all patients, including those who may not qualify for coverage.Demonstrate understanding of organizational policies and procedures and maintain confidentiality in accordance with HIPAASt John's Community Health is an Equal Employment Opportunity Employer