Job details

Patient Enrollment Specialist

Company Description

At NATIVE HEALTH, we strive to provide the best health care available for urban American Indians, Alaska Natives, and other individuals who generally experience barriers to health and wellness services.

Mission: To provide accessible holistic patient centered care, to empower our community to achieve the highest quality health and well-being.

Vision: Healthy People in Healthy Communities.

NATIVE HEALTH Benefits and Perks Include:

Medical, Vision, and Dental Insurance
Retirement Benefits - Up to 5% Matching Contribution
Paid Time Off/Sick Leave
Paid Holidays (12)
Tuition Reimbursement and Educational Leave
Employee Recognition Program

Starting Hourly Pay: $18.42

Job Description

The Patient Enrollment Specialist (PES) is responsible for onboarding patients into NATIVE HEALTH’s Integrated System of Care. The PES.facilitates enrollment of individuals and families into affordable health and dental insurance coverage such as Arizona Health Care Containment System (AHCCCS) and KidsCare. Provide insurance plan information such as commercial health plans and the Marketplace. The PES processes NATIVE HEALTH Discount Program (formerly known as SFS) applications for the uninsured and the underinsured as needed. The PES collects documentation for eligibility for services and special provisions for American Indians and Alaska Natives. The PES also links program participants and their families with community health resources to address social needs.

KEY ACCOUNTABILITIES:

Provides excellent customer service to patients, visitors, and staff in person and on the phone.
Manages patient pre-registration, registration and eligibility of insurance for all new and current patients.
Provide education, advocacy and enrollment assistance for Medicaid, Health Insurance Marketplace, other health plan options, SNAP, and TANF.
Responsible for enrollment and compliance with the Discount program available for all patients and fee waivers available for AI/AN patients.
Collect and process accurate payments from individual patients.
Supports the organization as needed.

Qualifications

QUALIFICATIONS/EXPERIENCE/REQUIREMENTS:

High School Diploma or equivalent with five years combined experience in customer service, health care advocacy and education, patient registration, or other direct care medical experience.
Associate degree preferred.
Bilingual in English/Spanish languages preferred.
Must be flexible in work hours, including Saturday hours.
Must be flexible to work at any location as needed, e.g., clinics and outreach.

Standard Employment Requirements

Must possess a valid and unrestricted Arizona driver’s license (within 30 days of hire if applicant is from out-of-state) with no DUI/DWI or reckless driving convictions in the last five years. No more than two at-fault accidents in the last three years. Must maintain a valid Arizona driver’s license during employment. Must be insurable under NATIVE HEALTH’s liability auto policy.
Must pass a criminal background check and obtain a Class I Fingerprint Clearance Card within the initial ninety (90) calendar days of employment and retain a valid card while employed with NATIVE HEALTH.
Must pass substance abuse testing upon employment and submit to random testing during employment.
Must provide an updated immunization (IZ) record at the time of employment.
Must have a current (within 12 months) Tuberculosis (TB) skin report upon employment and provide an annual update.
Must obtain BLS certified within (90) calendar days of employment and maintain certification during employment.

KNOWLEDGE, SKILLS AND ABILITIES:

Must have good communication skills, both written and verbal.
Capacity for self-motivation and ambition with minimal supervision.
Expert knowledge regarding eligibility requirements and enrollment process of the Sliding Fee Scale program, AHCCCS, CMDP, Title V, SNAP, and TANF.
Ability to uphold quality customer service to all patients/customers of NATIVE HEALTH.
Demonstrate proficiency with computer-based applications such as MS Office, Adobe, spreadsheets, email, and other computer software programs.
Able to use medical Electronic Health Record Systems.
Ability to complete health plan eligibility and pre-authorizations.
Understanding of eligibility, enrollment, and access barriers to health care issues of the Native American/Hispanic and other minority communities of Maricopa County.
Ability to work with multiple levels of supervision and differing program requirements simultaneously.
Knowledge of privacy and confidentiality policies and regulations.
Ability to communicate with co-workers and superiors to carry out assignments, meet goals and ensure the success of the position.
Maintain current knowledge of public benefit programs and web-based benefit application sites.
Stay well-informed of and communicating health-related information regarding all services NATIVE HEALTH offers.
Excellent customer service skills.
Must understand diverse communities, backgrounds, and cultures.
Must adhere to all standards relating to Culture and Linguistics Appropriate Services (CLAS).

Additional Information

Native Health is an EEOC, Employment-At-Will, and Native American Preference employer. A Drug Free and Commercial Smoke-Free work environment.

Average salary estimate

$38361 / YEARLY (est.)

min

max

$38361K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Patient Enrollment Specialist, NATIVE HEALTH

Are you ready to make a real difference in the lives of individuals in the community? Join NATIVE HEALTH as a Patient Enrollment Specialist! In this vital role, you will help onboard patients into our Integrated System of Care, ensuring they have access to affordable health and dental insurance coverage. Your responsibilities will include providing application assistance for programs like AHCCCS and KidsCare, as well as processing applications for our Discount Program for the uninsured. You’ll be the friendly face that guides individuals and families through their options, while also connecting them with critical community health resources. Balancing excellent customer service with meticulous documentation, you'll manage patient registrations and educate them about various health plan options. At NATIVE HEALTH, we believe in empowering our community towards optimal health, and your role will be central to achieving this mission. With benefits including medical, vision, and dental insurance, a retirement matching contribution, and generous paid time off, you’ll be supported every step of the way. So, if you're passionate about facilitating access to health care, have customer service experience, and are eager to contribute to a meaningful cause, we want to hear from you! Apply today and let’s work together towards healthier people in healthier communities!

Frequently Asked Questions (FAQs) for Patient Enrollment Specialist Role at NATIVE HEALTH

What are the primary responsibilities of a Patient Enrollment Specialist at NATIVE HEALTH?

The Patient Enrollment Specialist at NATIVE HEALTH plays a pivotal role in onboarding patients and facilitating their enrollment into affordable health and dental insurance programs. Key responsibilities include managing patient registration, providing information on various health insurance plans, assisting with Medicaid and other benefit applications, and ensuring that eligible patients can access necessary community health resources.