We are recruiting for a motivated Enrollment Specialist (MUST LIVE IN THE
STATE OF COLORADO) to join our team!We are here for life's journey.
Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects something bigger than
ourselves, something that connects us all:Humanity in action, Triumph in hardship, Transformation in health.DepartmentEnrollment ServicesJob SummaryUnder general supervision, determines medical assistance eligibility for
patients/clients 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. 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
inEssential Functions:Program Eligibility and Enrollment:
Interviews patients/clients 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.
(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.
Receives, processes, and verifies CHP+ enrollment fees and 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 RequiredWork Experience:
1-3 years Related experience RequiredKnowledge, Skills and Abilities:
Knowledge of medical and/or public assistance programs including Medicaid,
CHP+, CICP, DFAP, 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.Starting Pay range is between $23.85-$24.50ShiftDays (United States of America)Work TypeRegularSalary$21.09 - $29.53 / hrBenefitsOutstanding benefits including up to 27 paid days off per year, immediate
retirement plan employer contribution up to 9.5%, and generous medical plansFree RTD EcoPass (public transportation)On-site employee fitness center and wellness classesChildcare discount programs & exclusive perks on large brands, travel,
and moreTuition reimbursement & assistanceEducation & development opportunities including career pathways and coachingProfessional clinical advancement rogram & shared For full info follow