Enrollment Specialist II

We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

Job Summary

Under general supervision, determines medical assistance eligibility for customers in hospital outpatient/ inpatient, and emergency settings, as well as face-to-face and in a call center environment. Enrollment Specialists assist patients/clients with submitting/processing documentation to complete applications and forms for various medical assistance programs (including Medicaid and Hospital Discount Programs). Collaborate directly with both internal and external partners such as State entities, other departments and community organizations. Complete accurate data entry into multiple Federal, State and internal systems. This position is located in the Infectious Disease Clinic at Denver Health and primarily serves patients living with HIV. The Enrollment Specialist enrolls patients into federal, state, and local programs to ensure continuous access to medical care and medications.

Essential Functions:

• 
  Program Eligibility and Enrollment:
  * Interacts with customers to determine living and financial situation, calculates applicable income and assets, and determines eligibility for appropriate medical assistance programs.
  * Clearly explains the various medical assistance programs to patients/clients and assists them in completing the necessary forms to apply for such programs.
  * Identifies, researches, and resolves complex problems related to eligibility determinations for various medical assistance programs - including Medicaid and Hospital Discount Programs.
  * Required to use federal and state Interfaces to verify information provided by customer.
  * Required to meet productivity standards for processing times.
  * Will be required to collect and process documents over the phone and/or in-person.
  (70%)
• Case Maintenance for Medicaid and Other Programs:
  * Effectively and accurately follows established work procedures and guidelines to be efficient in the Medicaid case maintenance and redetermination processes. Includes application completion, collection of all documentation, data entry into CBMS, including detailed case comments.
  * May receive, process, and verify Medicaid Buy-In premium payments.
  (25%)
• Collects data utilizing various tracking tools that have been developed to monitor performance. (5%)

Education:

• High School Diploma or GED Required

Work Experience:

• 1-3 years 1 year Customer Service experience required Required

Licenses:

Knowledge, Skills and Abilities:

• Knowledge of medical and/or public assistance programs including Medicaid, CHP+, Sliding Fee Program and Connect of Health Colorado health plans.
• Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies.
• Knowledge of the eligibility determination system CBMS, Epic, Salesforce, Five9 systems.
• Proficient in Microsoft Word, Excel, and Outlook.
• Skilled in analytical thinking, problem solving, and process improvement.
• Skilled in providing excellent customer service.
• Ability to communicate orally and in writing in a thorough, clear, and professional manner.
• Ability to simultaneously coordinate and manage several functions, programs, and tasks in various stages of completion.
• Ability to consistently implement program, department and organizational policies and procedures.
• Ability to work efficiently both independently and in a team environment.
• Ability to treat all individuals with courtesy, dignity, empathy, and respect; consistently displays courteous and respectful verbal and non-verbal communications.

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado's primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.