Enrollment Specialist
Summary
Assists patients with health insurance enrollment, calculates sliding-fee scales, and manages Medi-Cal/Medicare applications using an EHR system.
| Job Title | Enrollment Specialist |
| Reports To | Controller |
| Supervision Received From | Controller |
| Supervision Exercised | None |
| Part/Full Time | Full Time |
| Classification | Non-Exempt |
Western Sierra Medical Clinic is an engaging, enthusiastic, mission driven organization dedicated to providing high-quality primary care to all members of our community. This includes the delivery of evidence-based preventative care, chronic disease management, and addressing urgent care needs as indicated for our pediatric and adult patient population.
GENERAL STATEMENT OF DUTIES
Under general supervision the Enrollment Specialist is responsible for facilitating patient access to healthcare by helping uninsured or underinsured individuals apply for public health insurance and sliding-fee scales.
GENERAL DUTIES: (This list may not include all of the duties assigned.)
- Screen patients for eligibility and assist with applications for Medi-Cal, Medicare, and other local assistance programs
- Interpret and apply FQHC sliding fee discount scales to calculate affordable out-of-pocket costs based on family size and income
- Assist in education of patients about available health coverage
- Track and follow up with patients for missing application documents, monitor pending cases, and assist patients with benefit recertifications
- Input and verify patient data within the Electronic Health Record system to ensure accurate reporting and compliance.
- Other duties as assigned.