Health Insurance Enrollment Specialist - 1825

Position Summary

The Enrollment Specialist works within a multi-disciplinary care team performing both independent and delegated duties, including registration and financial screening functions to determine eligibility for health benefit coverage under various healthcare assistance programs. As part of the Client Access team, this role also assists with front desk and lobby functions by greeting and directing clients, vendors, and visitors, while providing customer service and office support to ensure seamless access to care.

Duties/Responsibilities (Essential Functions)

• Research and verify patient eligibility for health insurance programs and benefits.
• Register and interview clients to obtain accurate demographic and financial information.
• Inform clients about the availability of government-funded discount programs.
• Complete enrollment applications using both electronic and manual systems.
• Identify and correct enrollment discrepancies in compliance with program guidelines.
• Maintain expertise in eligibility requirements and specifications for Medicaid, Child Health Plan Plus (CHP+), Medicare Savings Programs, CICP, and Connect for Health Colorado.
• Record and maintain accurate data on enrollment cases worked; submit required data to the State of Colorado to maintain compliance with state enrollment oversight.
• Periodically travel to CCH properties outside of the downtown health center to conduct enrollment outreach events in coordination with CCH staff.
• Interpret and communicate federal, state, and local program eligibility criteria, policies, and procedures to clients and staff.
• Provide back-up support to Client Access Representatives as needed, including lobby coverage and client intake.
• Assist clients with questions and concerns, connecting them to appropriate CCH services and community resources.
• Support a professional, trauma-informed, and confidential work environment that values respect, inclusivity, and teamwork.
• Take initiative to identify ways to deliver healthcare in a more compassionate, expedited, and user-friendly manner.
• Ensure timely & accurate use of all company systems as required while maintaining complete up-to-date records and any future upgrades as directed.
• Performs other job duties as assigned.

Education, Licensure and Certifications

• High school diploma or equivalent required.

Experience

• Previous customer service, front desk, or medical office experience preferred.
• Experience working with vulnerable or underserved populations strongly preferred.
• Bilingual in English and Spanish preferred.

Job Competencies

• Knowledge of Medicaid, CHP+, Medicare Savings Programs, CICP, and Connect for Health Colorado eligibility and enrollment processes.
• Strong critical thinking and problem-solving skills.
• Excellent interpersonal and communication skills with high emotional intelligence.
• Proficiency in EHR systems, enrollment platforms, and Microsoft Office applications.
• Ability to manage multiple priorities in a fast-paced environment with frequent client interactions.
• Sensitivity to homelessness issues and a demonstrated commitment to working with underserved populations.
• Ability to function independently and as part of a team with professionalism and respect.
• Demonstrated skills in de-escalation, situational awareness, and trauma-informed care.

Physical Demands and Working Conditions
The physical demands and work environment are representative of those that must be met or encountered to successfully perform the essential functions of the job with or reasonable accommodation and without posing a direct threat to safety or health of self or others. In compliance with the Americans with Disabilities Act, CCH provides reasonable accommodation to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the Company.

Physical Demands

Percentage of work time spent on activity →

0% - 24%

25% to 49%

50% to 74%

75% to 100%

SEEING: Must be able to read computer screens and printed documents.

X

HEARING: Must be able to hear well enough to communicate with employees and others.

X

STANDING/WALKING

x

CLIMBING/STOOPING/KNEELING

X

LIFTING/PULLING/PUSHING

X

FINGERING/GRASPING/FEELING: Must be able to write, type and use telephones.

X

Working Conditions

• Work primarily in a clinical or office setting with regular interaction with clients, staff, and providers.
• Regular interaction with diverse and marginalized populations.