Under the general supervision of the Enrollment Coordinator, Health Center Manager and oversight from the Chief Operations Officer, the Enrollment Specialist performs a variety of registration and financial screening functions with the objective of determining eligibility for medical care coverage under the terms of various private and public health care and financial services assistance programs. This may include programs such as Medicare, Medi-Cal, Covered California, Managed Care Plans, private insurance and numerous other health plans and programs. The Enrollment Specialist will primarily work in the community with specific target populations to promote Clinicas’ services in agricultural fields, packing houses, food pantries, and other community organizations, primarily focused on the farmworker and migrant target population throughout Ventura County. The Enrollment Specialist interacts with a multi-cultural population of diverse socioeconomic backgrounds, ages and levels of education.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Enrollment Specialist is responsible for performing the following duties:

• Researches and verifies patient eligibility for different programs and insurance coverage. 
• Registers and interviews patients to obtain accurate and complete demographic and financial information.
• Informs patients about the availability of governmental funded and discount programs.
• Properly completes enrollment applications through electronic and manual systems.
• Provides case management services for individuals and families on public and private health insurance programs.
• Recruits new patients for CDCR and schedules appointments.
• Conducts community presentations and health screenings.

• Serves as an interpreter between provider and patient as needed.
• Utilizes a variety of resources to provide education including Department curricula, written educational materials, brochures, posters, models and videos.
• Provides patient advocacy including assistance with community referrals, disability & paid family leave forms, WIC, medication assistance and other advocacy services aiding as a liaison to connect patients to resources.
• Promotes services via in-person, broadcast & social media as requested.
• Documents encounters using electronic health records, HED data base and other applicable forms.
• May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
• Performs other duties as assigned including participation in all safety programs, which may include assignment to an emergency response team.

KNOWLEDGE AND ABILITIES

• Ability to work individually as well as in group settings with minimal supervision.
• Work with people of different cultural, ethnic, and social-economic backgrounds, particularly underserved populations and have a desire to help others improve their health.
• Must have dedication to team work and the ability to deliver exceptional patient service.
• Must have strong communication skills.
• Possesses excellent computer skills and have basic knowledge of computer programs (Word, Excel, Publisher, etc.).
• Interacts in a professional manner and works collaboratively with Clinicas’ staff and patients. Provides excellent customer service to patients, vendors and employees.
• Possess strong desire to improve the health and well-being of target populations. Be a self-motivated, independent, innovative thinker and a resourceful problem solver.
• Must have a flexible work schedule and be available to work weekends and evenings as requested.
• Complete and maintain program certifications as assigned by supervisor.
• Must have reliable transportation to be used during working hours for off-site appointments and outreach activities.