Enrollment Specialist - School Based

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Department

Job Summary
Under general supervision, determines medical assistance eligibility for customers in hospital outpatient/ inpatient, and emergency settings, as well as face-to-face and in a call center environment. Enrollment Specialists assist patients/clients with submitting/processing documentation to complete applications and forms for various medical assistance programs (including Medicaid and Hospital Discount Programs). Collaborate directly with both internal and external partners such as State entities, other departments and community organizations. Complete accurate data entry into multiple Federal, State and internal systems.
Essential Functions:

• Program Eligibility and Enrollment:
  • Interacts with customers to determine living and financial situation, calculates applicable income and assets, and determines eligibility for appropriate medical assistance programs.
  • Clearly explains the various medical assistance programs to patients/clients and assists them in completing the necessary forms to apply for such programs.
  • Identifies, researches, and resolves complex problems related to eligibility determinations for various medical assistance programs - including Medicaid and Hospital Discount Programs.
  • Required to use federal and state Interfaces to verify information provided by customer.
  • Required to meet productivity standards for processing times.
  • Will be required to collect and process documents over the phone and/or in-person.
  (70%)
• Case Maintenance for Medicaid and Other Programs:
  • Effectively and accurately follows established work procedures and guidelines to be efficient in the Medicaid case maintenance and redetermination processes. Includes application completion, collection of all documentation, data entry into CBMS, including detailed case comments.
  • May receive, process, and verify Medicaid Buy-In premium payments.
  (25%)
• Collects data utilizing various tracking tools that have been developed to monitor performance. (5%)

Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Customer Service experience required

Knowledge, Skills and Abilities:

• Knowledge of medical and/or public assistance programs including Medicaid, CHP+, Sliding Fee Program and Connect of Health Colorado health plans.
• Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies.
• Knowledge of the eligibility determination system CBMS, Epic, Salesforce, Five9 systems.
• Proficient in Microsoft Word, Excel, and Outlook.
• Skilled in analytical thinking, problem solving, and process improvement.
• Skilled in providing excellent customer service.
• Ability to communicate orally and in writing in a thorough, clear, and professional manner.
• Ability to simultaneously coordinate and manage several functions, programs, and tasks in various stages of completion.
• Ability to consistently implement program, department and organizational policies and procedures.
• Ability to work efficiently both independently and in a team environment.
• Ability to treat all individuals with courtesy, dignity, empathy, and respect; consistently displays courteous and respectful verbal and non-verbal communications.

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program 

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.