Description

Mosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income.

We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Community Health, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment.

Mosaic Community Health offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit package!

Opportunity

The Enrollment Specialist is the primary point of contact for Mosaic patients with insurance applications and eligibility requirements with state and/or federal insurance programs, including Oregon Health Plan. This includes contacting patients for re-enrollment and assisting the Billing Department with insurance verifications. The Enrollment Specialists will conduct Outreach activities with community partners and other organizations to provide information and enrollment assistance. This position will develop and maintain statistical enrollment reports and manage reports provided by the organization for enrollment and re-enrollment. This position will travel throughout the region to support enrollment assistance. Additionally, this role will be handling pre-registration and registration pre verification for all patients at Mosaic, new or established. Entering, auditing, educating, and advocating for accurate registration in the patient’s electronic medical record (EHR). This role identifies patients who have termed from Medicaid/Medicare. When termed, reaches out to patients to inquire as to why they termed and assists patients in navigating the Enrollment process. Provides education on Medicaid eligibility and sliding scale eligibility. Bi-lingual in Spanish/English strongly preferred.

Responsibilities

• Aid and process state and/or federal applications for insurance coverage for patients and community members.

• Troubleshoot application questions or concerns from patients and community members.

• Monitor enrollment reports to identify enrollment assistance needs.

• Advise patients of their Enrollment status with Medicaid/Medicare and aid as needed.

• Schedule patients in Enrollment appointments as needed.

• Create new patient records in EHR.

• Auditor of patient charts to ensure accurate financial registration.

Skills & Knowledge

Working knowledge of health insurance plans including Medicaid and Medicare. Excellent oral and written communication skills, including effective communication with patients on complex or technical information regarding insurance coverage. Ability to develop and present effective presentations in different location settings and group size. Ability to prepare basic correspondence and simple reports in Microsoft Word and Excel. Ability to create, send and manage email in Outlook. Ability to access and use web-based applications and EMR program. Understanding of healthcare navigation including insurance types, concepts, terminology, billing, and/or regulations required. Knowledge of standard office policies and procedures. Knowledge of Microsoft Office software products preferred. Computer literacy and typing skills. Training in Marketplace enrollment preferred. Knowledge of standard office machines including copier, fax, shredder, multi-line telephone, printers, etc. Excellent customer service skills and ability to effectively and respectfully handle dissatisfied patients. Bi-lingual in Spanish/English strongly preferred.

Qualifications

Education

Required

• High School/GED or better

Experience

Required

• 0-2 years: 0-2 year(s) of related experience in healthcare and/or social services.