ORGANIZATION
The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.

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POSITION SUMMARY*
The Eligibility & Enrollment Counselor (also referred to as Community Health Advocate: CHA) works under the direct supervision of the Front Office Operations Manager to screen and provide enrollment assistance to uninsured adults and children in San Mateo and Santa Clara Counties. The CHA participates with various community enrollment sites and attends community health events. They are responsible for eligibility screening, conducting enrollments, responding to inquiries and registering or re-registering new and established Ravenswood Family Health Network (RFHN) patients.

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DUTIES AND RESPONSIBILITIES*
To be performed in accordance with RFHN Policies and Procedures

• Become a Certified Enrollment Counselor (CEC) through the State of California via the IPASS Website and a Community Health Advocate by attending training through the Health Coverage Unit (HCU).
• Assist applicants in gathering the verification documents needed to apply for various Federal, State, and Community Programs via the One-e-App and CalHEERS application processing systems.
• Enter application information in One e-App, CalHEERS, and EPIC practice management system.
• Facilitate the screening and referrals of all Gateway well child visits to determine if these uninsured children are eligible for coverage.
• Collaborate with Human Services Agency Medi-Cal Benefits Analysts, Health Plan of San Mateo, San Mateo Medical Center, Santa Clara Family Health Plan, Valley Health Plan, Health Coverage Unit (HCU), and community-based organizations on improving the delivery of the various program services.
• Participate in the HCU CBO coalition and regional health outreach meetings to discuss issues regarding outreach barriers and best practices, retention strategies, eligibility processing issues, etc.
• Conduct community and interagency presentations on various healthcare insurance programs and County coverage programs (Medi-Cal, Kaiser Child Health Plan, ACE, ACE Fee Waiver, PCAP, Covered California Plans, and internal Sliding Fee Scale).
• Participate in community health events to inform and screen uninsured families eligible for Medi-Cal, Kaiser Child Health Plan, ACE, ACE Fee Waiver, PCAP, Covered California and internal Sliding Fee Scale.
• Educate Medical, Dental, Womens Health, Behavioral Health, Optometry, Referrals, and Imaging staff about the eligibility and enrollment process.
• Review applications on a monthly basis to confirm whether cases are pending, approved, or denied.
• Inform, educate, and review coverage payments and details of coverage with applicant.
• Assist applicants with billing and payment questions.
• Conduct telephone enrollments and/or home visits when needed.
• Link information from One-e-app to Ravenswood Family Health Networks Epic system.
• Register new and re-register established patients by entering demographic information into the computer, printing out a registration form, having the patient sign the Consent for Treatment Statement, and filing the registration form in the medical record.
• Collect Power of Attorney, Guardianship, Emancipation, Asylum, or any other legal form pertaining to identity or patient care.
• Maintain all patient information confidential at all times.
• Assist patients in navigating to other internal and external services as needed.
• Provide consistent and accurate case management with minimal supervision on an ongoing basis, including but not limited to charting, referrals, follow-ups, and other important eligibility and enrollment information.
• Greet patients and visitors in a prompt, courteous, and helpful manner.
• Answer telephones, provide information, screen calls, take messages, and/or direct calls to the appropriate individual.
• Screen visitors and respond to routine requests for information.
• Maintain work area in a neat and orderly manner.
• Assist as a float covering CHAs at Ravenswood and MayView campuses, and covering the CHA Front Desk at Ravenswood when needed.
• Other duties as assigned and requested.

QUALIFICATIONS

• Completion of COVID-19 vaccine series and booster.
• Two years of office work experience strongly preferred.
• Current Basic Life Support certification required.
• Current California drivers license and ability to travel between clinics.
• Bilingual Spanish/English proficiency required.
• Experience in a healthcare setting, Certified Enrollment Counselor strongly preferred.
• Knowledge of business office procedures, proficiency with Microsoft Office and electronic health records, Epic preferred.
• Reliable, organized, detail-oriented with a high degree of accuracy.
• Ability to understand and carry out oral and written instructions; to maintain complex records and files; to meet and deal effectively with the public.
• Ability to work under pressure and efficiently manage multiple tasks and priorities.
• Excellent customer service skills and professional demeanor.
• Ability to communicate tactfully and effectively both orally and in writing.
• Experience working effectively with a multi-cultural and economically diverse population.
• Ability to work with all types of clients regardless of their race, immigration, housing or financial status.
• This is a highly confidential position requiring mature judgement and compliance with HIPAA, audit requirements, and other regulations.
• Commitment to support and implement the philosophy, goals, and objectives of RFHN.

Pay rate is commensurate with experience.
Ravenswood Family Health Network is an equal opportunity employer.

Job Type: Full-time

Pay: $22.00 - $32.00 per hour

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