Under the direction of the Clinic Director, the Enrollment Specialist screens clients to determine eligibility for our programs.
Screen clients for eligibility in and assist with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, MHLA, commercial products, Ryan White, ADAP, OA-PrEP as well as with the process of accessing Public Benefits.
Follow up to verify the status of enrollment applications and assist clients who are experiencing problems.
Complete a comprehensive benefits and qualified health insurance assessment for each client.
Maintain and update all client records via eClinicalWorks electronic health record system.
Answer and respond to incoming telephone calls and emails regarding eligibility in qualified health plans and Public Benefits according to agency policy.
Refer incoming calls to the appropriate agency(ies)that requires a contracted Benefits Specialists for Social Security appeals and private benefits questions beyond the scope of the program.
Collaborate with other programs at APLA Health & Wellness and other service organizations to facilitate the provision of services.
Maintain an extensive awareness of client resources, both agency-wide and community based.
Attend relevant trainings relating to benefits programs, and trainings required to meet contract requirements.
Prepare reports and client records as required to meet APLA Health & Wellness, city, state, and federal program requirements.
Follow agency policies and maintain agency standards with regards to client confidentiality and HIPAA compliance.