Benefit Enrollment Specialist

Benefits Enrollment Specialist

Full-Time | Hourly

Are you interested in serving people through exceptional, affordable, and compassionate care and inspiring all those you touch to lead full and healthy lives?

At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place for you to build your career. We’re looking for the right team members to treat our patients with this level of care.

We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional development workshops, and a focus on healthy work-life harmony. Check out our careers page to learn more about why our employees love working at La Clinica.

The Benefit Enrollment Specialist is responsible for evaluating the patient’s financial circumstances and to provide information regarding potential resources to patients. The BES will assist patients with the submission or applications, obtain required verification, document identity and citizenship according to DMAP (Division of Medical Assistance Programs) standards, follow up with patients to assure timely submission and act as liaison with DMAP to eliminate barriers to eligibility determinations.

Responsibilities Include The Following

• Demonstrates knowledge of all aspects of medical assistance programs available through the Department of Human Services
• Will evaluate patient’s circumstances and assist the patients in accessing the benefit most advantageous to the patient’s family circumstances
• Assist patient with the completion of the application process, including assistance in obtaining necessary documents, and submission of applications to the OHA Central unit or other program related processing center
• Follow up on pending applications and update EPIC with insurance status
• Work with billing department to identify potential covered charges that can be billed to DMAP or other insurance carrier
• Meet in person, with patients referred by reception or other clinic staff
• Determines eligibility for patient applying for CCARE and SCREENWISE and documents eligibility efforts in EPIC
• Utilize EXCEL and/or ACCESS program to track all patients potentially eligible for OHP, CHIP, and CAWEM. Provide monthly status reports to Management
• Participate on the La Clinica Outreach team
• Assist with the development and implementation of strategies to reach target populations; aid these groups with accessing medical benefits to support their ability to access ongoing medical care
• Maintains the confidentiality and privacy of patients, staff and the organization
• Effectively communicates La Clinica’s mission and values to staff and clients
• Participates in Migrant Camp Outreach Efforts
• Responsible for outreach efforts to ensure continuation of OHP eligibility and engagement in La Clinica services
• Other duties as assigned
  
  

Education And/or Experience

• High School Diploma
• Bilingual in Spanish and English
• Six months of experience in related field or training
• Excellent interpersonal communication and problem-solving skills
• Skills to intervene and promote reconciliation, compromise and positive outcomes in difficult interactions
• Basic knowledge of Excel, SharePoint and Office Suite
• Skilled at using electronic health records as applicable to area of work (EPIC)
  
  

Benefits Include The Potential For The Following

• Medical, Dental, and Vision Insurance
• Voluntary Accident, Short Term Disability, and Critical Illness Insurance
• 403(b) Retirement Savings Plan with Available Company Match
• Organization Paid Standard Life Insurance
• Flexible Spending Accounts (FSA) and Health Savings Account (HSA)]
• Wellness Programs Such as Cooking, Zumba, Yoga, and Gardening
• Personal and Professional Development Seminars
  
  

Equity Statement

At La Clinica, we commit to engage everyone in a welcoming, respectful, and loving way and to maintain the dignity and value of all people above everything else. These standards align with our organization’s vision of absolute excellence, open-hearted community, and well-being for all.

For more information, please visit our website at: https://laclinicahealth.org/patients/approach/

Applications will be reviewed by the appropriate Department for interview; those selected must be able to provide proof of legal right to work in this country. La Clinica is a drug free work environment. Equal Opportunity Employer. La Clinica complies with the Americans with Disabilities Act. If you consider yourself disabled and desire assistance in the application process, please contact the Human Resources Department.