Job Information
Adams County Government Health Enrollment Specialist in Denver, Colorado
Health Enrollment Specialist
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Health Enrollment Specialist
Salary
$49,899.20 - $69,846.40 Annually
Location
Denver, CO
Job Type
Regular Part-time 3
Job Number
06816
Department
Public Health Department
Division
Health Equity and Strategic Iniatives
Opening Date
11/22/2024
Closing Date
12/20/2024 11:59 PM Mountain
Our Mission
At Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.
Cultural Competencies/EEO
Adams County is an equal opportunity employer. We strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status,marital status or any other legally protected characteristic.
Position classification
Onsite -- Job duties and expectations require employee to be regularly scheduled onsite.
Description
Benefits
Questions
What Success Looks Like In This Job
The Health Enrollment Team member provides one-to-one assistance to external customers seeking to enroll in health insurance. This position uses detailed knowledge of prequalification requirements and coverage details of each health plan to screen callers, determine eligibility for federal and state medical assistance programs (Medicaid, CHP+, and Connect for Health) and assist eligible clients with completing applications, including re-enrollment and changes to the account. This position provides individual assistance over the phone and in-person, trouble-shoots questions and completes voter registration for each client.
Examples of Duties for Success
Accurately provides health enrollment application assistance to callers, including trouble-shooting and verifying eligibility for Program. Maintains expert knowledge of qualifications for federal and state medical assistance programs and can easily describe pre-qualifications and plan details to callers in plain language with excellent verbal communication skills.
Monitors incoming call volume, promptly and courteously answers phone calls, and performs competent, direct service to customers.
Effectively uses a benefits management system to research and determine actions necessary to helping the customer.
Completes required actions, updates records, and completes application.
Documents voter registration process, completes and submits registration for each caller, as indicated.
Accurately redirects callers to alternate agencies when determined callers are not eligible for assistance. Provides referral information to callers to community-based organizations for social care and to medical and dental providers for health care referrals.
Perform other duties as assigned.
Health Insurance Enrollment Specialist
Communicates directly with customer (in person or over the phone) to complete appropriate insurance enrollment forms, including assistance with meeting redetermination requirements and reporting changes to account
Using plain language, effectively explains the details about each federal and state medical assistance program, coverage of services, and associated costs.
Accurately collects specific demographic data fields and enters complete information into appropriate portals on a timely basis.
Accurately assesses documentation requirements (income, legal status, etc) and ensures client meets documentation requirements.
Retain records in accordance with HIPAA and ACHD record retention policies.
Attend training course to maintain up-to-date knowledge of insurance plan details.
Community Outreach
Inform community and community partners about the Health Enrollment Team’s services and how to access the service.
Attend community meetings to present information about ACHD’s Health Enrollment program and services.
Represent ACHD in the community. Give presentations about the programs, qualifications, and how to access individualized enrollment assistance.
Qualifications for Success
Action OrientedEnjoys working hard; is action oriented and full of energy for the things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.
ApproachabilityIs easy to approach and talk to; spends the extra effort to put others at ease; can be warm, pleasant, and gracious; is sensitive to and patient with the interpersonal anxieties of others; builds rapport well; is a good listener; is an early knower, getting informal and incomplete information in time to do something about it.
Time ManagementUses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.
HIPAA Statement
Maintain sensitive & confidential client information according to the HIPAA policy and Title X confidentiality requirements. (Static phrase on every job description)
More Qualifications for Success
Education: A High School Diploma or G.E.D. is required.
Experience:
Requires a minimum of three years’ experience in customer service or customer-facing role.
Requires one year experience with accurate, time-bound data entry.
Spanish speaking highly preferred
Emergency Preparedness and Response Duties
Completes trainings identified as appropriate for this level employee. Employee participates in all exercises and drills on emergency preparedness and response, as required. Employee responds, as required, to support emergencies, incidents and events with a public health and medical impact.
Equipment Used: Must demonstrate proficiency in using PPE and computer use including internet, email, and Microsoft Office Suite. Must be able to learn and become proficient with equipment and software programs as required to effectively and efficiently perform assigned duties
Working Conditions and Physical Abilities:
This role remains in a semi-stationary position, often sitting or standing for prolonged periods of time. Occasionally, this role will move about to accomplish tasks by walking or traveling from one department to another, or by traveling from one worksite to another. This role requires use of reliable transportation to work throughout the Metro Denver area. This position’s physical demands are assessed to be light work that includes moving objects up to 20 pounds.
This role constantly communicates with others to exchange information by speaking and writing, and that includes repeating motions that include wrists, hands, and/or fingers. This position will be asked to assess accuracy, neatness, and thoroughness of work assigned.
This position can expect no adverse environmental conditions as work is performed in office buildings throughout the community.
Adams County complies with Colorado’s Job Application Fairness Act (“JAFA”). JAFA prohibits employers from asking individuals to disclose their age, date of birth, or dates of school attendance or graduation on an initial employment application. However, additional application materials such as certifications and transcripts containing this information may be required for certain positions; if such additional materials are requested, applicants may redact information that identifies the applicant’s age, date of birth, or dates or attendance or graduation.
Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.
Clickhere (https://youtu.be/ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!
Benefits You Expect:
AFLAC Supplemental Medical Insurance
Basic Term Life & Optional Term Life Insurance
Deferred Compensation Plan
Dental/Vision/Medical Plans
Generous Vacation/Sick leave
Long-Term Disability
Retirement Plan
Short-Term Disability
Plus some you might not expect:
Employee Assistance Program
Employee Fitness Center
Employee Health Clinics
Flexible Work Schedules
Recreation Center Discounts
Training & Tuition Reimbursement Programs
Wellness programs
Lactation friendly certified workplace
01
Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.
Yes, I understand and agree
Yes, I understand but disagree.
02
A requirement for this role is completion of a High School Diploma or GED. Do you meet this requirement?
Yes
No
03
This role requires a minimum of three years' experience in customer service or customer-facing role. Do you meet this requirement?
Yes
No
04
This role requires one year of experience with accurate, time-bound data entry. Do you meet this requirement?
Yes
No
05
Are you bilingual in English and Spanish? If yes, please indicate your skill level.
06
How has your background and experiences prepared you to be effective in an environment that values diversity and is committed to inclusion?
07
Please describe your experience working with diverse communities.
08
What does it mean to you to serve the Adams County communities?
Required Question
Agency
Adams County
Address
4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213
Website
http://www.adcogov.org/current-career-opportunities
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