Enrollment Specialist jobs at Trinity Health - 1487 jobs

At Christian Healthcare Ministries (CHM), we exist to glorify God, show Christian love, and serve members of the Body of Christ by sharing each other's medical bills. The Member Enrollment Representative (MER) plays a vital role in this mission by increasing membership through various communication channels while delivering exceptional member experience. The MER is responsible for converting sales leads into new memberships, guiding prospective members through the enrollment process, and ensuring that every interaction reflects CHM's core values and commitment to service excellence. WHAT WE OFFER Compensation based on experience. Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Professional Development Paid Training ESSENTIAL JOB FUNCTIONS Meet sales targets, goals, and performance expectations. Engage in inbound and outbound phone sales (no cold calling) to assist and guide prospective members through the enrollment process. Establish referrals, build relationships, and develop contacts with potential prospects. Respond promptly and professionally to prospective member calls and inquiries. Ensure delivery of high-quality, Christ-centered service. Address member questions, concerns, and provide thoughtful recommendations. Assist in retaining memberships when appropriate. Respond to emails, calls, and voicemail promptly. Clearly explain CHM guidelines, programs, and options to members. Offer suggestions for improvement to the Member Enrollment Supervisor and Team Leader. Maintain professionalism, empathy, and a positive attitude. Demonstrate strong communication skills in both phone and written correspondence. Uphold CHM's Core Values and Mission Statement in all interactions. Collaborate with other departments, including Member Services, Marketing, and Communications, to ensure seamless member experience. Gain a deep understanding of the Member Enrollment Team's structure and objectives. Input, track, and manage prospects using HubSpot and internal CHM systems. Develop ongoing relationships with prospects through consistent and intentional follow-up. OTHER FUNCTIONS Demonstrate Christian values and adhere to ethical and legal business practices. Support CHM initiatives and departmental goals as assigned. EDUCATION, EXPERIENCE & SKILLS REQUIRED Prior experience in online or phone-based sales (preferred). College education or equivalent work experience (preferred). Strong verbal and written communication skills, including professional phone and email etiquette. Proficiency in CHM guidelines, programs, and policies (training provided). Competence with Microsoft Office Suite and CRM tools such as HubSpot. Excellent organizational and time management skills with the ability to handle multiple priorities. Self-motivated, collaborative, and committed to teamwork. Strong problem-solving and conflict resolution skills. Willingness to ask questions, seek guidance, and support team initiatives. TRAINING & DEVELOPMENT New representatives will complete a structured training program designed to build a strong understanding of CHM's membership process, communication tools, and ministry values. Ongoing professional development and mentorship opportunities are also provided. WORKING CONDITIONS Must adhere to organizational policies and procedures as outlined in the employee handbook. Occasional travel may be required for ministry or business purposes. Flexibility to work hours between 8:00 a.m. and 6:00 p.m., based on department needs. Requires extended periods of sitting, working on a computer, and communicating by phone or email. Strong reasoning and problem-solving abilities to overcome objections and assist prospective members effectively. About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour

Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion JOB SUMMARY The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply. JOB SPECIFICATIONS Responsibilities/Duties Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions: Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods. Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133. Engage directly with people using substances, people experiencing homelessness and their communities. Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations. Build trust and rapport within priority communities to increase access to harm reduction resources. Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies. Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements. Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request. Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies. A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties. Other duties as assigned. EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work. SKILLS/EXPERIENCE Knowledge of substance use is highly required. Knowledge of the impact of drug use and overdose on communities of color in Philadelphia. Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations. Excellent oral communication skills. Ability to analyze and think critically to apply reasonable judgment and problem-solving skills. Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies. Excellent organizational skills. Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment. Ability to establish and maintain effective relationships with people contacted in the course of work. Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods. Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care. Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours. Travel: Local travel to multiple sites several times per week, as needed. Physical Demands: Ability to transport materials; walking for an extensive distance. Salary: $25 per hour Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include: Medical with vision benefits Dental insurance Flexible spending accounts Life, AD&D and long-term care insurance Short- and long-term disability insurance 403(b) Retirement Plan, with a company contribution Paid time off including vacation, sick, personal and holiday Employee Assistance Program Eligibility and participation are handled consistently with the plan documents and HFP policy. DISCLAIMER The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals. The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.

The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office. Essential Responsibilities: RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail. Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals. Partners with internal departments to resolve issues related to all tasks and assignments supporting the business. Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries. Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting. Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments. Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns. May be required to meet position related productivity and quality standards. Other duties as assigned. Requirements/Qualifications: Education Level: High School diploma or equivalent. Job related/Industry experience preferred. Excellent verbal and written communication skills. Excellent organizational and time management skills. Excellent problem solving/analysis collaboration. Self-motivated individual with strong attention to detail. Leadership experience preferred. Additional Details: Base Pay Range: $17.00 - 21.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) This position will be based on-site in our East Syracuse, NY office working a hybrid schedule of 4 days/week and 1 day remote. A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.

Who We Are: Quest Global delivers world-class end-to-end engineering solutions by leveraging our deep industry knowledge and digital expertise. By bringing together technologies and industries, alongside the contributions of diverse individuals and their areas of expertise, we are able to solve problems better, faster. This multi-dimensional approach enables us to solve the most critical and large-scale challenges across the aerospace & defense, automotive, energy, hi-tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who believe that engineering has the potential to make the impossible possible; innovators, who are not only inspired by technology and innovation, but also perpetually driven to design, develop, and test as a trusted partner for Fortune 500 customers. As a team of remarkably diverse engineers, we recognize that what we are really engineering is a brighter future for us all. If you want to contribute to meaningful work and be part of an organization that truly believes when you win, we all win, and when you fail, we all learn, then we're eager to hear from you. The achievers and courageous challenge-crushers we seek, have the following characteristics and skills: What You Will Do: On-site contact for MRO facility and issues Troubleshoot repair issues Coordinate with operators and engineers Preparation and maintenance of program tracking metrics Utilize SAP to run reports and analyze large volumes of data Understand and appropriately allocate critical detail parts across repair facilities to facilitate on time delivery metrics and engine centers testing requirements Prepare status reports as required, present weekly data packages and complete monthly MRO overdue reports Lead status and operational meetings for internal and external stakeholders What You Will Bring: Bachelor's degree in engineering 10+ years of experience working within an MRO facility Extensive knowledge of the aerospace industry, processes, and components Strong emphasis on data management, analysis, forecasting, and SAP knowledge. Strong communication and presentation skills Ability to work within both a shop Pay Range: $70,000 to $80,000 per year Compensation decisions are made based on factors including experience, skills, education, and other job-related factors, in accordance with our internal pay structure. We also offer a comprehensive benefits package, including health insurance, paid time off, and retirement plan. Work Requirements: This role is considered an on-site position located in Windsor Locks, CT. You must be able to commute to and from the location with your own transportation arrangements to meet the required working hours. Shop floor environment, which may include but not limited to extensive walking, and ability to lift up to 40 lbs. Travel requirements: Due to the nature of the work, no travel is required. Citizenship requirement: Due to the nature of the work, U.S. citizenship is required. Benefits: 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Employer paid Life Insurance, Short- & Long-Term Disability

Job Description What is PACE? At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve. Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each. Job Title - Enrollment Specialist Department - PACE Admin Reports to - Marketing and Enrollment Manager Benefits - Medical, Dental, Vision, Life Insurance (Short & Long Term Disability) 403(b) Plan Paid Holidays CME (Continuing Medical Education) About Position: The Enrollment Specialist is responsible for the enrollment of new participants to the program, including all intake activities. Under the supervision of the Marketing and Enrollment Manager, obtains initial information relating to admissions, coordinates intake and enrollment process and provides information and referrals to community agencies as appropriate. Promotes the PACE program to potential participants, community agencies and at other outreach venues as needed. Work Location: 1214 Vaughn Rd, Burlington, NC 27217 Schedule: Monday through Friday, 8:00am to 5:00pm Travel: As Needed Duties/ Responsibilities - Evaluates potential participants to the program to determine participant needs and eligibility for enrollment. Assessments completed in the homes of the potential participant according to the availability of the participant and family, including evening as weekends as needed. Utilize knowledge and required skills to insure appropriate assessments. Assesses individual patient conditions, utilizing clinical observation, medical record, and verbal information, interaction with patient/family and care team. Coordinates level of care applications with State Medicaid (or designee) and Medicare applications with county Department of Social Service personnel. Participates in IDT, Management Team and other related meeting and activities. Participates in outreach activities in conjunction with the Marketing and Enrollment Manager. Completes appropriate documentation related to participant assessments as required. Maintains statistical data required. Presents Intake reports at the weekly staff meeting and additionally as needed. Travels to client's homes and/or other agencies in the community as needed. Knowledge of NC's nursing facility level of care criteria-FL2. In collaboration with the Nurse Care Manager and Team Director, oversee facilitating execution/signing of Care Plan and Enrollment Agreement. Participates in outreach events and presentations in the community. Provides alternative community resources to applicants who are not accepted into the PACE program. Contacts identified key referral sources regularly to discuss possible program candidates. Maintains ongoing relationship with identified individuals and agencies to ensure a clear understanding of PACE as a vital community resource. Qualifications - Education/Experience: 3-year degree from a recognized college or university equivalent combination of experience required. Strong preference for knowledge of community served by Piedmont. Preference for sales experience and demonstrated success in meeting sales benchmarks. One year of experience with the frail or elderly preferred. Bilingual/Spanish speaking candidates are strongly preferred. Licensure, Registry or Certification Required: Must have a valid NC Driver License. Must be CPR/BLS certified. Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment. Pay Range: $46,786.00 - $62,876.00 ( commensurate with years of experience) EEO STATEMENT Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. 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Patient Benefits Enrollment Specialist Level I Department: Patient Services Supervisor: Patient Services Manager Status / Hours per week: Full Time / Non-Exempt (40 hours/week) Pay Range: The expected base pay for the position is $18-$25 per hour and may be increased based on other factors, such as language, certifications, etc. Primary Function: The Patient Benefits Enrollment Specialist Level I assists uninsured and under-insured patients in applying for the most comprehensive government-sponsored health insurance coverage they qualify for based on family size, family income, and immigration status. This position also assists patients with selecting and enrolling in an insurance plan, selecting a primary care provider, and setting up premium payments, as applicable. This position is required to obtain the Massachusetts CAC (Certified Application Counselor) and Certified Navigator Training Certification (for Navigator Grant) within one month of employment and maintain this certification throughout their time in this position. Duties & Responsibilities: • Maintains both Certified Application Counselor (CAC) and Navigator Training Certifications (for Navigator Grant). • Ensures Enrollment Staff are following Sliding Scale Discount Program Policy & Procedures. • Supports multiple clinical departments, such as Primary Care, Urgent Care, Women's Health, Behavioral Health, Specialties, including Dental and Eye with their uninsured and under-insured patients seeking services. • Follows all health center policies and procedures on patient confidentiality/HIPAA and all health center-wide guidelines. • Verifies patient demographic and insurance information. • Actively listens to Level 2's & 3's and pays attention to feedback that is given. • Educates patients on enrollment into the patient electronic record portal system, MyChart. • Schedules and signs in patients for their Enrollment Appointments. • Outreaches to patients that do not keep their Enrollment appointments. • Follows end of day (EOD) procedures for patients that do not show for (DNK) their Enrollment Appointment. • Screens patients for basic eligibility into Massachusetts government-sponsored health coverage programs, such as MassHealth, HSN, Health Connector, etc. by checking residency, income and family size. • Assists patients in completing on-line applications and manually completes the extensive 65 and older MassHealth application. • Assists patients with the MassHealth re-determination process to minimize any disruptions in coverage through proactive outreach from C3 lists and other sources as well as through patient walk-ins. • Assists patients with other eligibility programs, such as Medicare Part D Prescription Drug Coverage through research using Medicare's website; and assists patients with the Medicare and MassHealth Open Enrollment periods. • Answers patients' inquiries, translates, and completes data entry plus other clerical tasks. • Educates patients about UCC Enrollment brochure and other services at UCC locations. • Attends Massachusetts Health Care Training Forum-Webinars • Collects and obtains signatures on all patient compliance related documents. • Outreaches individuals from the C3 ACO MassHealth Redetermination files to assist them in maintaining their eligibility with MassHealth to avoid a gap in coverage. • Updates insurances in the UCC patient's EMR. • Manages returned Enrollment mail by outreaching the patient to obtain an updated address and phone number; updates the EMR and MassHealth contact information. • Assists patients with billing issues and notices received from MassHealth, Connector Care, and other insurance plans. • Troubleshoots for patients with issues, such as lost or stolen insurance cards, requesting updates to information in the system, etc. • Assists patients in completing the Sliding Fee Discount Application as requested or applicable, completes accurate data entry of the sliding scale into OCHIN, and assures UCC is audit-ready in collaboration with leadership. • Educates patients about UCC's Senior Care Options (SCO), PACE (Program or All-Inclusive Care), and other programs (Advocates, HIV, etc.). • Maintains written tracking of all activities relating to outreach, enrollment, re-enrollment, member assistance and other relevant information. • Answers patient and internal staff calls. • Must be willing to work evenings and/or Saturdays. • Handles other duties as needed/assigned. Qualifications Minimum Basic Knowledge: • High School Diploma or its equivalent (GED) • Bilingual language skills in English/Spanish and/or Portuguese Creole highly preferred Experience & Qualifications: • Updated Massachusetts CAC (Certified Application Counselor) certification required. • Updated Navigator Certification required. • Minimum of two (2) years of experience working in a direct customer service role. • Required to understand and explain all the enrollment requirements for all government-sponsored programs. • Ability to work with persons with disabilities and seniors. • Demonstrated oral and written communications skills. • Strong documentation and excellent organizational skills. • Experience working in a fast-paced, diverse environment. • Experience and demonstrated proficiency in computer systems and PC-based software. • Excellent customer service skills. • Ability to work effectively within a team. • Ability to multi-task on two computer systems (Virtual Gateway and EPIC) at the same time. • Ability to take initiative and exercise excellent judgment, make excellent decisions and advanced problem-solving capabilities. Independent Action: As described above at “Duties & Responsibilities”. Supervisory Responsibility: None, but is able to provide input to workflow improvements. Define Access Level to PHI: Level 2: Authorized to access patient demographic data with only minimal reference to treatment or diagnostic information as needed to function. Staff in this category level should confine the use of PHI to the minimum necessary required and should not access or read parts of the medical record not needed to perform assigned duties.

Department: 13257 Enterprise Corporate - Managed Health Clinical insights & Operations: Credentialing & Enrollment Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This position has a first shift schedule between normal business hours of 8am to 5pm. Pay Range $24.10 - $36.15 Essential Functions Performs primary source verifications of documentation required for managed care credentialing and re-credentialing of MGD providers. Provides issue resolution and support regarding billing issues as they relate to provider enrollment and credentialing for MGD providers and the Central Billing Office. Enters provider data in the ECHO database according to established departmental processes and provides feedback to other System entities as to the status of the applicants. Performs follow-up on needed information (expired licenses, board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner. Prepares physician files for file audits by managed care organizations, Corporate Compliance and accreditation entities. Conducts practice site visits for practices within MGD. Facilitates communication tools and or activities to maintain timely and accurate flow of information to Managed Care Organizations (MCOs) and the System. Reviews hard copy and electronic provider directories and other information produced by managed care organizations reflecting MGD and the System's demographics and participation. Provides Team member support to the CPN Credentialing and Quality Review Committee. Physical Requirements Perform most duties under normal office conditions which may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles 20-50 pounds. Work is subject to time sensitivity, heavy volumes, and frequent interruptions, either by phone or other employees. Must use frequent and variable body movements during filing and maintaining records. Require frequent verbal and written communication in English to employees, corporate staff, providers, and external agencies. Require occasional travel to other corporate offices. Use of personal vehicle required. Intact sense of sight and hearing required. Education, Experience and Certifications High school diploma or GED required; Bachelor's degree preferred. Three years' experience in a role that performs or supports provider credentialing, privileging, and/or enrollment in either a hospital, managed care plan or CMS environment is required. Knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone required. Experience in typing, word processing, and business correspondence is required. Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Enrollment Specialist Status: Full-Time - Union Department: Membership Enrollment Services Reports to: Membership Enrollment Manager Type: Temporary (3 months) Summary of Experience: Demonstrate and maintain expertise in: eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable populations; and privacy and security standards. Responsibilities: * Conduct public education activities to raise awareness about coverage options available under Medicaid, CHIP and the Marketplace * Help individuals understand and access affordability options * Provide information and assistance in a fair, accurate, and impartial manner; * Provide information and assistance in a manner that is culturally and linguistically appropriate to diverse communities and accessible to individuals with disabilities; and * Provide referrals to any applicable office of health insurance consumer assistance or ombudsman established under Section 2793 of the PHS Act to address consumer grievances, complaints, or questions about their health plan, coverage, or a determination. * Ensure all health center outreach and enrollment assistance workers (i.e., current and newly supported) comply with and successfully complete all required and applicable federal and/or state consumer assistance training, as is required for all assistance personnel carrying out consumer assistance functions. * Demonstrate the capacity to conduct "in reach" with currently uninsured health center patients and "outreach" to non-health center patients in their approved service area. * Health center outreach and enrollment assistance workers will be required to help any patients or residents seeking outreach and enrollment assistance. * Must provide timely referrals to other resources, such as the toll-free Marketplace Call Center, or to other state or local entities that can more effectively serve that individual. * Screens and enrolls patients under programs they may qualify for, such as HWLA-Matched, HWLA-Unmatched and Medi-Cal. * Enters and retrieves patient medical data from computer terminal updating entries as necessary. * Is familiar with Medi-Cal, Healthy Families, Healthy Kids, Healthy Way L.A., Kaiser Child Care Plan and other health care options available to parents, child care providers and the general public in Los Angeles County. * Assist in the compilation of data for regular and special reports (e.g. grievance reports) * Assist in the training of new personnel. * Effective Assistance for members and families experiencing difficulties (e.g. enrollment trouble shooting and advocacy on behalf of the family, barriers to enrollment, utilization and retention) and offer retention assistance. * Provide on phone or in person accurate, reliable information regarding Clinica's Medi-Cal Programs. * Ensure patients are enrolling in Medi-cal, Healthy Way L.A. and any other health care options available. * Demonstrates a positive, can do attitude in responding to employee and patient needs. * Provide education to patients on Medi-cal application process and how to advocate for themselves. * Attends In-Services and/or trainings. * Call managed care patients for appointments. * Update EPIC with notes in order for front office to process patients with appropriate HWLA status. * Answers incoming calls for HWLA and Medi-cal patients, takes messages, transfers calls and provides information to other departments upon request. * Operation of standard office machine. * Other duties assigned. Qualifications: * Experience in a medical office setting preferred. * Ability to handle multiple tasks and work in a busy environment. * Must have great verbal and written communication skills, * English and Spanish is a MUST * Computer experience and typing at least 45 wpm. * Able to promote and provide means for a working team relationship with front office and other departments. * Able to handle heavy telephone duties and an influx of patients. * Organized, flexible, thoroughness, dependability and attention to detail. * Must be able to communicate effectively with people of diverse culture, education, social and economic backgrounds. * Must have strong team orientation. * Able to work and communicate effectively with people of diverse culture, education, social and economic backgrounds. * High School Diploma or Equivalent.

Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities. MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS: * Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation, and troubleshooting the enrollment process) for uninsured individuals to access subsidized, low-cost and free health insurance programs through the health insurance market place and Medi-Cal. * Provide structured patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals. * Educate patients and community members on COVID-19 best practices including vaccine eligibility and booster requirements. * Establish trusting relationships with patients and their families while identifying and addressing patients' needs. * Provide ongoing navigation with patients and families to assure patient satisfaction, evidenced by patient retention. * Conduct outreach and in-reach strategies within the community with the goal of increasing the number of families enrolled with EVCHC. * Conduct in-reach activities at EVCHC sites to inform patients about health care coverage * Assists and/or completes additional tasks as assigned. POSITION REQUIREMENTS AND QUALIFICATIONS: * High School or GED required. Bachelor's Degree in health or social service-related field of study preferred or, a minimum of two years in the field equivalent combination of education and experience. * 2 or more years of experience working in community social service or healthcare environment. * Experience using technology such as a computer, web-based portal systems, and internet web browsers. * Experience tabling and performing community outreach. * Covered CA Enrollment Assister Certification strongly preferred. * Must have strong Microsoft Office 365 skills (ex: Outlook, Word, and Excel). * Must be able to type 45 words per minute. * Bilingual, Fluent in English/Spanish or English/Spanish/Mandarin required. DOE: $23.00 - $27.16 East Valley offers a competitive salary, excellent benefits to include medical, dental, vision, and defined contribution retirement plan. You will also enjoy work-life balance with paid time off and paid holidays throughout the year. Please apply to this position with your current resume. Principals only. Recruiters, please do not contact this job posting. EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

: Eligibility & enrollment SpecialistReports To: Front Office Supervisor Status: Full-Time, Non-Exempt This position is responsible for helping clients enroll in health insurance programs; registering new and established patients in IHC services; conducting outreach to established clients at the Indian Health Center (IHC); assisting patients develop payment plans; and backing up the front desk. The IHC is a Patient Centered Health Home and all employees are an integral part of this model of care delivery. Duties & Responsibilities: Meet with new and established medical clients to inform them about the services offered at the IHC and to enroll them into health insurance programs or any available County coverage Greet patients in waiting room and help them to complete forms Conduct outreach calls to all of the IHC's American Indian clients and encourage them to come in and receive services Conduct outreach calls and mailings to new medical managed care enrollees Create an incentive system aimed at reducing the number of no show clients Provide back up to the receptionist and medical records when needed Develop payment plans if needed for clients Compile monthly statistics for the Medical Department's Board Report Will need to prepare the Eligibility report for registration Make new patient registration packets Confirm appointments Check voicemail daily, follow up with calls and make new patient appointments Maintain schedule for Medi-Cal eligibility worker Assist patients with Medi-Cal applications Assist eligible applicants with the Covered California enrollment process Will attend outreach events as needed Participate as a proactive representative of the Patient Centered Health Home Perform duties utilizing the Team-Based Approach Perform other duties as assigned Required Qualifications, Knowledge and Abilities: Associate degree in a medical related field or comparable A minimum of 2 years of experience in a medical setting in a similar position Able to read, write and speak English fluently Bi-lingual in Spanish preferred Knowledge of medical terminology, procedure codes, ICD-9 codes, and medical records handling Trained as Certified Enrollment Counselor for Covered California or willing to complete training within 3 months of being hired Vast knowledge of Federal and State health programs, and Qualified Health Plans of Cover California Working knowledge of computer programs such as Microsoft Window Experience with Electronic Health Records and patient registries Flexibility, initiative, reliability, and creativity Willingness to cross train for reception and medical records Excellent customer service Knowledge of and ability to relate to the American Indian community and other minority populations Possession of a valid California Driver License, automobile insurance, and a clean driving record. Will need to provide this at time of hire Ability to maintain strict confidentiality Ability to function independently and as a team member within diverse environments as well as with a diverse staff composition Demonstrated ability to perform multiple administrative functions simultaneously in an accurate, organized, and efficient manner. Ability to multitask and thrive in a fast-paced, constantly changing environment Ability to carry out all responsibilities in an honest, ethical and professional manner and demonstrate good judgment Physical Requirements: Ability to sit, stand and walk for extensive periods of time Manual and finger dexterity and eye-hand coordination sufficient to accomplish the duties associated with your job description Ability to lift up to 35 pounds Ability to stoop, squat, or bend frequently Corrected vision and hearing within normal range to observe and communicate with patients and professional staff Working Conditions: Exposure to all patient elements, including communicable disease and blood borne pathogens. Will be working in a fast paced medical environment which can be stressful and constantly changing conditions. Normal working hours are from 8:00 am until 5:00 pm with one hour for lunch. However, working hours may vary depending upon need. Will need to be flexible in performing tasks with limited discretion in making judgment decisions. Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than above, the Indian Health Center of Santa Clara Valley, Inc. is an equal opportunity employer including minorities, women, disabled and veterans. Approvals/Acknowledgements

Under the general supervision of the Director of Social Services and Special Programs, the Outreach/Enrollment Specialist is responsible for providing community based outreach and enrollment assistance activities and facilitate enrollment of eligible health center patients and service area residents into affordable health insurance coverage through the Health Insurance Marketplaces, Medicaid, or the Children's Health Insurance Program. Help families to understand the eligibility criteria and application process, serving as a liaison with State to complete the enrollment process. Assist in developing outreach program plan. Education High School Diploma or GED required. Associate or Bachelor's degree is preferred. Minimum Qualifications Excellent oral and written communication skills. Ability to communicate with diverse patient populations. Two years experience of community engagement activities. Technical Skills1. Use and/or operate office equipment, i.e., personal computers, calculators, copiers.2. Experience in the use of internet, email, or database management programs.3. Proficient in the use of Microsoft Office applications, and Outlook. 4. Ability to acquire skills for entering updated insurance information into NextGen database.

Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities. MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS: * Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation, and troubleshooting the enrollment process) for uninsured individuals to access subsidized, low-cost and free health insurance programs through the health insurance market place and Medi-Cal. * Provide structured patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals. * Educate patients and community members on COVID-19 best practices including vaccine eligibility and booster requirements. * Establish trusting relationships with patients and their families while identifying and addressing patients' needs. * Provide ongoing navigation with patients and families to assure patient satisfaction, evidenced by patient retention. * Conduct outreach and in-reach strategies within the community with the goal of increasing the number of families enrolled with EVCHC. * Conduct in-reach activities at EVCHC sites to inform patients about health care coverage * Assists and/or completes additional tasks as assigned. POSITION REQUIREMENTS AND QUALIFICATIONS: * High School or GED required. Bachelor's Degree in health or social service-related field of study preferred or, a minimum of two years in the field equivalent combination of education and experience. * 2 or more years of experience working in community social service or healthcare environment. * Experience using technology such as a computer, web-based portal systems, and internet web browsers. * Experience tabling and performing community outreach. * Covered CA Enrollment Assister Certification strongly preferred. * Must have strong Microsoft Office 365 skills (ex: Outlook, Word, and Excel). * Must be able to type 45 words per minute. * Bilingual, Fluent in English/Spanish or English/Spanish/Mandarin required. DOE: $23.00 - $27.16 East Valley offers a competitive salary, excellent benefits to include medical, dental, vision, and defined contribution retirement plan. You will also enjoy work-life balance with paid time off and paid holidays throughout the year. Please apply to this position with your current resume. Principals only. Recruiters, please do not contact this job posting. EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities. Position Responsibilities and Functions: • Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation, and troubleshooting the enrollment process) for uninsured individuals to access subsidized, low-cost and free health insurance programs through the health insurance market place and Medi-Cal. • Provide structured patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals. • Educate patients and community members on COVID-19 best practices including vaccine eligibility and booster requirements. • Establish trusting relationships with patients and their families while identifying and addressing patients' needs. • Provide ongoing navigation with patients and families to assure patient satisfaction, evidenced by patient retention. • Conduct outreach and in-reach strategies within the community with the goal of increasing the number of families enrolled with EVCHC. • Conduct in-reach activities at EVCHC sites to inform patients about health care coverage Position Requirements and Qualifications: High School or GED required. Bachelor's Degree in health or social service-related field of study preferred or, a minimum of two years in the field equivalent combination of education and experience. 2 or more years of experience working in community social service or healthcare environment. Experience using technology such as a computer, web-based portal systems, and internet web browsers. Experience tabling and performing community outreach. Covered CA Enrollment Assister Certification strongly preferred. Must have strong Microsoft Office 365 skills (ex: Outlook, Word, and Excel). Must be able to type 45 words per minute. Bilingual, Fluent in English/Spanish or English/Spanish/Mandarin (Highly preferred) East Valley offers a competitive salary, excellent benefits to include: medical, dental, vision, and defined contribution retirement plan. You will also enjoy work-life balance with paid time off and paid holidays throughout the year. Principals only. Recruiters, please do not contact this job posting. EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

Enrollment Specialist Location: Fulton, MO (On-Site) Job Type: Full-time About Us: At the Arthur Center, we inspire community health and wellness! Our approach is to inspire our patients and clients to lead a healthy life so they can spend their time, talent and resources on living! We are headquartered in Mexico, MO and currently serve the Audrain, Callaway, Montgomery, Pike, Ralls, and Monroe Counties. We employ close to 200 people at our 5 locations. We are seeking a detail-oriented Enrollment Specialist to assist clients in accessing affordable healthcare and financial support programs. This role involves guiding clients through Medicaid applications, Marketplace health coverage enrollment, and sliding fee programs, while ensuring accurate documentation in Electronic Health Records (EHR). Join Arthur Center Community Health to make a meaningful impact in the lives of those we serve. Key Tasks and Responsibilities Conduct in-person financial assessments with clients Collect demographic information and create new charts in the EHR system Complete sliding fee applications and financial assessments Schedule appointments for new clients and coordinate initial behavioral health visits Assist clients with Medicaid applications, including complex cases requiring authorized representation Support clients with Marketplace health coverage applications Maintain and update financial assistance programs Key Skills and Attributes Strong communication and interpersonal skills Basic computer proficiency and ability to document in EHR systems Ability to work independently and prioritize multiple tasks Critical thinking and problem-solving skills General understanding of mental health, Medicaid, Marketplace, and insurance benefits Degree and Licensure Requirements High School diploma required; Bachelor's Degree in Social Work preferred Must obtain Certified Application Counselor license within 30 days of hire Minimum two years of experience in a clinical office setting (Medicaid/Marketplace experience preferred) Top benefits or perks: As an employee at Arthur Center, you'll enjoy: Collaborative work environment Competitive pay Comprehensive benefits package including: Medical (HSA option) Dental Vision Life insurance 401(k) with up to 6% company match 9 paid holidays Generous PTO Apply Today Ready to make a meaningful impact in your community? Apply now through to join a team that values excellence, compassion, and collaboration.

Description: Connections for Children (CFC) is a non-profit Child Care Resource and Referral agency serving child care providers, educators, and parents in the West Los Angeles and South Bay communities. For nearly 50 years, CFC has been a key community resource, empowering families and child care providers to ensure every child has access to quality early care and education. Through child care referrals, financial assistance, family engagement, and workforce development programs, CFC strengthens the link between families, providers, and the broader community, promoting the well-being and optimal development of young children. Committed to equity and excellence, CFC is a steadfast advocate for the nurturing and educational needs of all children, continually evolving to meet the changing demands of the community. Connections for Children is focused on expanding programs to serve more people throughout our service area, while investing in staff and organizational capacity to ensure mission success. By establishing a more diverse revenue base, CFC is sustaining and growing its impact, prioritizing equity, and inclusivity in all efforts. This prioritization affirms CFC's commitment to diversity, equity, inclusion, and belonging, particularly in serving underserved populations, and positions the organization to embrace innovation and cultivate strong partnerships for the betterment of countless children and families. About the Position In accordance with the organizational mission and goals, provides direct or program related services to the clients within assigned programs while ensuring compliance with all city, county and state subsidy child care contracts. Primary Responsibilities Participate in the recruitment and enrollment of new clients in the subsidy program by: Conduct in-person meetings, both scheduled and by walk-in, with clients in order to receive and process documentation needed for enrollment Provide information and support to clients on child care options. Work with outside agencies to verify clients' needs and eligibility for service. Manage, review and verify all eligibility required documentation for enrollment of clients within a timely manner and according to programs required time frame. Evaluate all client income in the household and apply a family fee if applicable. Maintain, complete, and organized client files according to program regulations and guidelines to satisfy program audits. Manage assigned caseload, ranging from 100-200 clients. Maintain knowledge of the Title 5 Regulations and State Funding Terms and Conditions for all applicable programs. Keep up-to-date on timely subsidy program changes and related guidance. Maintain current and accurate client records in MCT-CC3 and CalSAWs databases. Maintain confidentially of clients Personal Information as required by contracts. Ensure clients complaints are accurately logged and resolved in a timely manner or referred to Subsidized Programs Supervisor for appropriate resolution. Additional Responsibilities Provide clients with information on supportive services (e.g., housing, food, mental health services, etc.) as needed. Represent the agency with professionalism in all interactions. This includes over the phone, in person, using electronic media, and written correspondence. Provide excellent internal and external customer service by working cooperatively within the department, across the agency, and with clients and partners. Support other functions within the department when needed. Participate in visibility events as needed. Attend all staff meetings, trainings, and annual retreats. Perform other duties as assigned Requirements: Experience, Knowledge, Skills and Abilities Regular attendance and punctuality are essential. Experience working with diverse populations in a culturally sensitive manner. Must be able to work independently and as part of a team. Excellent interpersonal skills, flexible and collaborative. Well-organized, able to self-manage competing priorities, and meet deadlines. Exceptional attention to detail and accuracy. Ability to exercise discretion and practice good judgment at all times. Computer Skills: Working knowledge of Microsoft Office (Word, Excel, Outlook, Teams) required. Bilingual English/Spanish Skills: Excellent Reading, Writing, and Oral Communication is preferred. Three (3) years of equivalent related work experience in Social Work, Human Services, Family Studies, or related field; or Bachelor's degree in the field of Social Work, Human Services, Family Studies, or related field. Working Conditions Typical of an office environment. Eligible for hybrid/telework schedule upon completion of introductory period. Must have reliable transportation. Flexibility to work occasional evenings and weekends. Must comply with agency health and safety protocols, including vaccination policy. Benefits include: Medical, dental, and vision coverage (employee premium fully paid), employer-paid life insurance, 401(k) with potential employer contribution, PTO and paid holidays. ORGANIZATIONAL STATEMENT This is intended to provide an overview of the requirements of the position. As such, it is not necessarily all-inclusive, and the job may require other essential and/or non-essential functions, duties, or responsibilities not listed herein. Management reserves the sole right to modify this at any time. Nothing in this job description is intended to create a contract of employment of any type. Employment at Connections for Children is strictly on an at-will basis. EQUAL OPPORTUNITY EMPLOYMENT STATEMENT Connections for Children is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. All employment decisions at Connections for Children are based on organizational needs, job requirements and individual qualifications, without regard to age, race, color, religion or belief, sex, sexual orientation, gender identity, national origin, veteran, disability status, family or parental status, or any other status protected by federal and CA state laws.

Medical Biller & Insurance Enrollment Specialist Job Summary: The Medical Biller & Insurance Enrollment Specialist is a hybrid role primarily responsible for leveraging the Athena EHR to ensure accurate charge posting, claim submission, timely adjudication, and optimal reimbursement. The hybrid role also involves insurance enrollment, including completing payer applications and maintaining provider schedules to ensure network participation and compliance. Key duties include charge posting, claim review, payment posting for select transactions, accounts receivable follow-up, and responding to inquiries from patients, staff, and management across multiple sites. As performance demonstrates capacity, this position may assume additional responsibilities within the revenue cycle. This is a nonexempt, full-time position in pay grade 4 with the pay range of $21.08 - $28.45. The Medical Biller & Insurance Enrollment Specialist reports directly to the Revenue Cycle Manager. Required Skills/Abilities: Must be able to work independently and manage multiple priorities. Familiarity with FQHC billing and compliance regulations. Ability to work with others in a team base setting. Must possess a valid drivers' license and have dependable transportation. Education and Experience: High School Graduate or equivalent; associate or bachelor's degree preferred. A minimum of one to three years of experience in billing for a medical office, preferably in an FQHC environment. Prior experience with Athena is highly preferred. Credentialing experience is strongly preferred. Knowledge of CPT, ICD-10, HCPCS coding preferred. Experience in medical terminology is helpful. Working Conditions and Physical Requirements: General office environment Occasional travel Standards of Behavior: Commitment To Service Respect Quality Teamwork Patient Focus Integrity Accountability Caring & Compassion Professionalism Listening & Responding Safety AIDET Job Related Competencies: Attention to Detail - The ability to process detailed information effectively and consistently. Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions. Communicates Effectively- Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences. Values And Ethics - Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair. Time Management- The ability to effectively manage one's time and resources to ensure that work is completed efficiently. Commitment to Community: Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by: Prioritizing access for all individuals; Offering ongoing training for staff to promote health awareness, preventive measures and early detection for the varied patient population on the Eastern Shore; Actively engaging with patients, families and staff; Fostering a workplace culture in which everyone is treated with dignity. Duties/Responsibilities: Medical Billing: Accurately process and post charges, submit claims through Athenahealth for all payers, including Medicaid, Medicare, and commercial insurance. Review and resolve claim denials, rejections, and underpayments promptly. When needed, Post payments, reconcile accounts, and manage patient balances. Maintain compliance with FQHC billing guidelines and payer-specific requirements. Generate and analyze billing reports to identify trends and improve revenue cycle performance. Insurance Enrollment: Complete initial insurance enrollment for providers with insurance plans, Medicaid, Medicare, and other networks. Maintain accurate provider records in credentialing databases and ensure timely updates. Track expirations for insurance contracts. Communicate with providers and payers to resolve enrollment issues efficiently. Regular, reliable attendance is a requirement of this job. Benefits: Tuition and education assistance Certification scholarships available Paid holidays (9) Flexible paid time off and vacation scheduling 403(b) 403(b) matching Employee assistance program Flexible spending account Health insurance Dental insurance Vision coverage Life insurance Referral program Employee wellness program Discretionary Bonuses Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Job Description Medical Biller & Insurance Enrollment Specialist Job Summary: The Medical Biller & Insurance Enrollment Specialist is a hybrid role primarily responsible for leveraging the Athena EHR to ensure accurate charge posting, claim submission, timely adjudication, and optimal reimbursement. The hybrid role also involves insurance enrollment, including completing payer applications and maintaining provider schedules to ensure network participation and compliance. Key duties include charge posting, claim review, payment posting for select transactions, accounts receivable follow-up, and responding to inquiries from patients, staff, and management across multiple sites. As performance demonstrates capacity, this position may assume additional responsibilities within the revenue cycle. This is a nonexempt, full-time position in pay grade 4 with the pay range of $21.08 - $28.45. The Medical Biller & Insurance Enrollment Specialist reports directly to the Revenue Cycle Manager. Required Skills/Abilities: Must be able to work independently and manage multiple priorities. Familiarity with FQHC billing and compliance regulations. Ability to work with others in a team base setting. Must possess a valid drivers' license and have dependable transportation. Education and Experience: High School Graduate or equivalent; associate or bachelor's degree preferred. A minimum of one to three years of experience in billing for a medical office, preferably in an FQHC environment. Prior experience with Athena is highly preferred. Credentialing experience is strongly preferred. Knowledge of CPT, ICD-10, HCPCS coding preferred. Experience in medical terminology is helpful. Working Conditions and Physical Requirements: General office environment Occasional travel Standards of Behavior: Commitment To Service Respect Quality Teamwork Patient Focus Integrity Accountability Caring & Compassion Professionalism Listening & Responding Safety AIDET Job Related Competencies: Attention to Detail - The ability to process detailed information effectively and consistently. Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions. Communicates Effectively- Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences. Values And Ethics - Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair. Time Management- The ability to effectively manage one's time and resources to ensure that work is completed efficiently. Commitment to Community: Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by: Prioritizing access for all individuals; Offering ongoing training for staff to promote health awareness, preventive measures and early detection for the varied patient population on the Eastern Shore; Actively engaging with patients, families and staff; Fostering a workplace culture in which everyone is treated with dignity. Duties/Responsibilities: Medical Billing: Accurately process and post charges, submit claims through Athenahealth for all payers, including Medicaid, Medicare, and commercial insurance. Review and resolve claim denials, rejections, and underpayments promptly. When needed, Post payments, reconcile accounts, and manage patient balances. Maintain compliance with FQHC billing guidelines and payer-specific requirements. Generate and analyze billing reports to identify trends and improve revenue cycle performance. Insurance Enrollment: Complete initial insurance enrollment for providers with insurance plans, Medicaid, Medicare, and other networks. Maintain accurate provider records in credentialing databases and ensure timely updates. Track expirations for insurance contracts. Communicate with providers and payers to resolve enrollment issues efficiently. Regular, reliable attendance is a requirement of this job. Benefits: Tuition and education assistance Certification scholarships available Paid holidays (9) Flexible paid time off and vacation scheduling 403(b) 403(b) matching Employee assistance program Flexible spending account Health insurance Dental insurance Vision coverage Life insurance Referral program Employee wellness program Discretionary Bonuses Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.