MISSION, VISION, AND VALUES
Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well-Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers (HarborCHC).
JOB SUMMARY
The Enrollment Coordinator will assist patients to enroll and maintain enrollment into health insurance and subsidy programs and to anchor patients to HarborCHC. The Enrollment Coordinator is expected to adhere to all of HarborCHC's standards and values and to carry out all duties and responsibilities according to the organization's policies and procedures. This non-exempt position is scheduled to work Monday through Friday, 8:00 a.m. to 5:00 p.m. Any overtime worked must be approved by the supervisor in advance.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed 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.
- Complete a comprehensive benefits and qualified health insurance assessment for each client to determine eligibility in various health programs and/or public benefits such as Covered CA, Medi cal, Medicare, and HarborCHC's Sliding Fee Discount Program (SFS).
- Promote HarborCHC services to community members in need of a medical home.
- Help patients and community members complete and submit applications for programs and benefits for which they qualify.
- Submit enrollment applications and all related information into designated program platforms such as Covered CA and/or Benefits Cal.
- Conduct timely follow-ups to verify the status of enrollment applications and clients experiencing enrollment issues.
- Assist patients and community members to select a health plan based on their needs via Health Care Options or other applicable program platforms.
- Contribute to the retention of existing patients by providing insurance renewal services to avoid gaps in coverage and to maintain HarborCHC as their assigned medical home.
- Ensure timely, accurate, and detailed documentation in HarborCHC's EHR, eClinicalWorks (ECW), for all enrollment assistance provided to each individual and/or family.
- Maintain program participant files, including enrollment documents, records of services accessed, and enrollment verification. Input all participant enrollment information into the designated spreadsheet on a daily basis for tracking purposes.
- Work with other staff to make sure that patients and community members who received enrollment assistance are assigned to HarborCHC and attend initial IHA appointments.
- Adhere to all policies and requirements as set forth by Medi-Cal, Covered CA, LA County, and other applicable programs.
- Provide a monthly enrollment assistance report to the supervisor. The report includes all client/patient appointments that received assistance, the type of assistance provided, progress made, and an overall quantitative measurement of enrollment numbers reached to assess productivity.
- Perform other duties as assigned to support HarborCHC's mission and values.
Tracking and Documentation
- Maintains an appropriate and accurate log of patients assisted, including:
- Patient name and unique identifier (e.g., chart number or program ID)
- Type of enrollment assistance provided
- Type of health plan or program enrolled in
- Application submission date
- Status of application
- Other activities, including follow-up phone calls or updates
- Keeps all patient paperwork/documents in an organized manner to avoid repeated visits
- Maintains or submits required reports to his/her supervisor
QUALIFICATIONS
Minimum required education, experience, and/or training:
- High school diploma or equivalent
- Verbal and written fluency in English and Spanish
- At least 2 years' experience of substantial work experience in the target community providing customer/patient services in a healthcare setting
- Current Basic Life Support (BLS) Certification by the American Heart Association