Enrollment Specialist

Job Description

Job Description

Sunrise Community Health Summary

Founded in 1973, Sunrise Community Health is dedicated to delivering high quality, affordable healthcare to Weld, Larimer, and surrounding counties in northern Colorado.

With exceptional providers and convenient locations, we support each patient’s journey to wellness and are committed to our community’s health and well-being.

Financial Screening Enrollment Specialist :

The Financial Screening Enrollment Specialist’s is responsible for all patients requiring continuous program eligibility review.

The Financial Screening Enrollment Specialist position processes new patients and re-evaluates existing patients for accurate application of eligibility on payer sources.

Position Summary

With a Quality , Customer First , and Compassionate approach, The Financial Screening Enrollment Specialist will :

• Complete patient interviews for financial programs.
• Determine eligibility for services and method of payment (i.e., Medicaid, Medicare)
• Complete financial verification, receive copies of financial documentation. Complete patient registration forms, verify address and financial income information, and create patient registration and account files through data entry on the computer system.
• Follow-up with presumptive eligibility, approvals and denials process and pending Medicaid by maintaining logs.
• Submit Medicaid applications for presumptive eligibility for baby care and kid care within five days.
• Start new patient medical records with all required forms.
• Demonstrate knowledge of programs offered by Sunrise Community Health Center.
• Explain the services available, charging and billing policies, and patient rights and obligations.
• Counsel patients about the availability and utilization of community and county agencies for financial assistance and make referrals as appropriate.
• Provide ongoing eligibility review for established patients.
• Re-screen patients and update family information status as needed.
• Determine and explain eligibility status for financial and federal grants.
• Assure compliance with all funding sources, including state, city, county, and federal regulations.
• Treat all patients with respect and courtesy, respect patients’ rights to confidentiality and work cooperatively with other members of the staff.
• Assure patient needs are being properly addressed through scheduling. Assist walk-in patients.
• Place reminder calls to patients for scheduled appointments.
• Provide excellent customer service for patients, practice confidentiality and privacy protocols in accordance with clinic policies and HIPAA requirements.
• Distribute patient surveys according to guidelines.
• Assist team to maintain proper clinic flow.
• Check in patients, collect co-pays, and counsel patients on account balances.
• Verify other primary insurance.
• Assist / offer Voter Registration.
• Travel to other Clinics, as needed.

Minimum Qualifications :

• High School Diploma / GED
• 1 year experience in third party billing, state funded programs, payer source and billing procedures.
• 2 years of clerical experience and / or training, preferably in a clinical environment or the equivalent combination of education and / or experience.
• Bilingual English / Spanish Preferred

Perks and Benefits :

At Sunrise, we pride ourselves in over 50 years of exceptional support to our community and employees. Sunrise is dedicated to guiding every employee towards professional growth and development by supporting them through training and tuition reimbursement.

We value a healthy work life balance by providing generous paid time off. Employee opinions are valued, and we listen to employees through employee engagement surveys and the sharing of diverse ideas!

Sunrise Community Health offers a generous range of benefits.

Generous PTO and Leave Times :

Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, and Sick Leave)

Health, Medical, and Wellness Benefits :

• Medical Insurance
• Dental & Vision Insurance
• Basic Life & AD&D Insurance
• Voluntary Life Insurance
• Long-Term Disability (LTD)
• FSA Medical Flexible Spending Account
• FSA Dependent Care Spending Account
• Employee Assistance Program

Financial Benefits :

• Competitive 401K Plan
• Loan Forgiveness Programs*
• Referral Bonus

Professional Development :

• Tuition and Training Reimbursement
• Agency Wide Training
• Master Class Subscription

Get Involved :

• Employee Recognition Programs
• Providers can apply for the State or Federal loan repayment program.

Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) Vaccines are required for ALL staff.

COVID vaccine is highly encouraged.

Sunrise Community Health is an Equal Opportunity Employer. We value a diverse, inclusive workforce that enriches our culture and our mission to provide affordable access to quality healthcare for all.

Qualified applicants for employment will be considered without regard to an individual’s race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws.

Accommodations are available for applicants with disabilities.