The Enrollment Specialist works within a multi-disciplinary care team performing both independent and delegated duties, including registration and financial screening functions to determine eligibility for health benefit coverage under various healthcare assistance programs. As part of the Client Access team, this role also assists with front desk and lobby functions by greeting and directing clients, vendors, and visitors, while providing customer service and office support to ensure seamless access to care.
Additional Requirement
- Valid driver’s license required. This requirement may be waived, if necessary, based on overall candidate experience and current needs of the business and/or role.
Coalition Benefits
- Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.
- Choice of dental insurance or discount plan.
- Vision insurance.
- Flexible spending accounts for health care / dependent care / parking expenses.
- Free basic life and AD&D insurance coverage.
- Employee Assistance Program, a problem-solving resource available to you and your household members.
- Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
- Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.
Essential Job Functions
- Research and verify patient eligibility for health insurance programs and benefits.
- Register and interview clients to obtain accurate demographic and financial information.
- Inform clients about the availability of government-funded discount programs.
- Complete enrollment applications using both electronic and manual systems.
- Identify and correct enrollment discrepancies in compliance with program guidelines.
- Maintain expertise in eligibility requirements and specifications for Medicaid, Child Health Plan Plus (CHP+), Medicare Savings Programs, CICP, and Connect for Health Colorado.
- Record and maintain accurate data on enrollment cases worked; submit required data to the State of Colorado to maintain compliance with state enrollment oversight.
- Periodically travel to CCH properties outside of the downtown health center to conduct enrollment outreach events in coordination with CCH staff.
- Interpret and communicate federal, state, and local program eligibility criteria, policies, and procedures to clients and staff.
- Provide back-up support to Client Access Representatives as needed, including lobby coverage and client intake.
- Assist clients with questions and concerns, connecting them to appropriate CCH services and community resources.
- Support a professional, trauma-informed, and confidential work environment that values respect, inclusivity, and teamwork.
- Take initiative to identify ways to deliver healthcare in a more compassionate, expedited, and user-friendly manner.
- Ensure timely & accurate use of all company systems as required while maintaining complete up-to-date records and any future upgrades as directed.
- Performs other job duties as assigned.
Qualifications Summary
- Knowledge of Medicaid, CHP+, Medicare Savings Programs, CICP, and Connect for Health Colorado eligibility and enrollment processes.
- Strong critical thinking and problem-solving skills.
- Excellent interpersonal and communication skills with high emotional intelligence.
- Proficiency in EHR systems, enrollment platforms, and Microsoft Office applications.
- Previous customer service, front desk, or medical office experience preferred.
- Experience working with vulnerable or underserved populations strongly preferred.
We offer a full suite of benefits for our eligible employees and their dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.
- Health Insurance - HMO or PPO
- Dental plans, vision insurance, flexible spending accounts, supplemental life insurance
- Company paid basic life and AD&D insurance coverage, Employee Assistance Program, 403(b) retirement savings matching,
- Extensive paid time-off, including holidays, sick leave, and vacation
The effective date for your benefits will be the first of the month following your date of hire.