Job Opportunities in United States
September 16, 2024
Cooper Green
Birmingham
FULL TIME
Enrollment Specialist (Bilingual: Spanish)
Enrollment Specialist (Bilingual: Spanish)
Job ID: 16098
Functional Area: Clerical/Admin.
Position Type: Full Time
Experience Required: 1 - 3 Years
Location: Birmingham, AL
Department: ENR-Enrollment
Education Required: High School Diploma or GED
Relocation Provided: No
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Position Description:
GENERAL SUMMARY
Work involves performing a variety of clerical support functions in a health care setting by assessing patient needs and eligibility for health care services, collecting and recording patient information, and providing information and services to patients. Contacts patient or responsible party to obtain missing or incomplete demographic or insurance information. Verifies insurance through electronic processes; Contacts insurance company to obtain eligibility and verification of covered and non-covered services for scheduled appointments. Enrollment Specialist must be able to multi-task, utilizing and matching a variety of traditional and online access solutions. The Enrollment Specialist must have a general idea and knowledge about the field. Excellent grammar skills, proofreading, and proficiency in writing along with interpersonal customer service skills.
KEY RESPONSIBILITIES
o Ensures accurate and efficient processing of applicants applying for Indigent assistance
o HIPPA compliant to ensure confidentiality and integrity for our patients privacy
o Customer service oriented when assisting patients
o Understands Insurance payor benefits information
o Review of all Enrollment English forms to be translated to Spanish
o Support the Hispanic population in face-to-face enrollments
o Provide support to CG outreach coordinator at off-site Hispanic or-reach Health-fairs
Daily Operations
o Gather patient financial information to make a determination regarding eligibility
o Records in EMR (Next Gen) system the level of coverage and eligibility information
o Ensure all insurance demographic and eligibility information is obtained and entered in the system thoroughly and accurately
o Correctly expires inactive payor plans; adds or uses replace function to enter new insurances
o Verifies insurance(s) using Real-Time application, payor websites, or by phone call to insurance company
o Enters insurance information correctly in demographics, selecting appropriate financial classes or plans; records eligibility, effective/expiration dates, co-payments, PCP, and other specified information
o Explain financial requirement to patients or other responsible party
o Schedule patients for their yearly PCP and enrollment yearly renewal appointments, and prints out appointment reminder along with documents needed for the appointment
o Researches patient accounts when requested by supervisor or manager, taking appropriate actions
o Maintain appropriate databases, manuals, logs, files, and other required documentation; demonstrate an understanding for patient confidentiality
o Assists patients and staff timely and in a clear, helpful manner when performing enrollment assessments and/or verification duties
o Proactively shares new information related to enrollment, demographic or insurance updates with all appropriate areas and team members
o Other duties as assigned by the supervisor
GENERAL SUMMARY
Work involves performing a variety of clerical support functions in a health care setting by assessing patient needs and eligibility for health care services, collecting and recording patient information, and providing information and services to patients. Contacts patient or responsible party to obtain missing or incomplete demographic or insurance information. Verifies insurance through electronic processes; Contacts insurance company to obtain eligibility and verification of covered and non-covered services for scheduled appointments. Enrollment Specialist must be able to multi-task, utilizing and matching a variety of traditional and online access solutions. The Enrollment Specialist must have a general idea and knowledge about the field. Excellent grammar skills, proofreading, and proficiency in writing along with interpersonal customer service skills.
KEY RESPONSIBILITIES
o Ensures accurate and efficient processing of applicants applying for Indigent assistance
o HIPPA compliant to ensure confidentiality and integrity for our patients privacy
o Customer service oriented when assisting patients
o Understands Insurance payor benefits information
o Review of all Enrollment English forms to be translated to Spanish
o Support the Hispanic population in face-to-face enrollments
o Provide support to CG outreach coordinator at off-site Hispanic or-reach Health-fairs
Daily Operations
o Gather patient financial information to make a determination regarding eligibility
o Records in EMR (Next Gen) system the level of coverage and eligibility information
o Ensure all insurance demographic and eligibility information is obtained and entered in the system thoroughly and accurately
o Correctly expires inactive payor plans; adds or uses replace function to enter new insurances
o Verifies insurance(s) using Real-Time application, payor websites, or by phone call to insurance company
o Enters insurance information correctly in demographics, selecting appropriate financial classes or plans; records eligibility, effective/expiration dates, co-payments, PCP, and other specified information
o Explain financial requirement to patients or other responsible party
o Schedule patients for their yearly PCP and enrollment yearly renewal appointments, and prints out appointment reminder along with documents needed for the appointment
o Researches patient accounts when requested by supervisor or manager, taking appropriate actions
o Maintain appropriate databases, manuals, logs, files, and other required documentation; demonstrate an understanding for patient confidentiality
o Assists patients and staff timely and in a clear, helpful manner when performing enrollment assessments and/or verification duties
o Proactively shares new information related to enrollment, demographic or insurance updates with all appropriate areas and team members
o Other duties as assigned by the supervisor
Position Requirements:
MINIMUM QUALIFICATIONS
1. Required: Position requires a high school diploma or equivalent. Dynamic, enthusiastic and highly customer service focused personality and ability to consistently deliver an exceptional customer service experience. Dedicated to increasing overall customer service satisfaction by displaying excellent verbal communication / telephone skills at all times. 2+ Years of Customer Service experience is required. Must be detail oriented with the capability to handle confidentiality. Must have good communication skills. Bilingual ability.
2. Preferred: Prefer minimum of one to two years of customer service, health information management, physician office or other clinic environment experience.
MINIMUM QUALIFICATIONS
1. Required: Position requires a high school diploma or equivalent. Dynamic, enthusiastic and highly customer service focused personality and ability to consistently deliver an exceptional customer service experience. Dedicated to increasing overall customer service satisfaction by displaying excellent verbal communication / telephone skills at all times. 2+ Years of Customer Service experience is required. Must be detail oriented with the capability to handle confidentiality. Must have good communication skills. Bilingual ability.
2. Preferred: Prefer minimum of one to two years of customer service, health information management, physician office or other clinic environment experience.
We regret to inform you that this job opportunity is no longer available
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