This position was created to support continued participation of patients in the Medicaid program given policy changes arising from the end of the Public Health Emergency and the new availability of Medicaid benefits for some undocumented populations.

The Medicaid Enrollment Specialist is responsible for supporting Medicaid enrollment and re-enrollment for current and potential Care Clinic patients and for conducting outreach related to Medicaid eligibility and services. Applicant must be able to speak Spanish fluently.

Essential Functions:

• Gain and maintain a working knowledge of Medicaid eligibility and enrollment guidelines.
• In collaboration with the Outreach and Communications Specialist, design patient education materials to support Medicaid enrollment and re-enrollment.
• Using tools provided (e.g., Eligible but Not Enrolled data, current list of Medicaid patients), outreach to identified individuals to support Medicaid enrollment, address verification, and/or re-enrollment.
• Assist patients in verifying Medicaid eligibility and address information.
• Assist patients and potential patients in enrolling for Medicaid benefits.
• Conduct outreach events in the community to provide education on Medicaid benefits and enrollment and Care Clinic services.
• Collaborate with FIRC as well as the Human Services Departments in Summit, Lake, and Park Counties for continued growth of Medicaid application assistance.
• Support eligibility functions including determining and managing SFS applications and Building Hope voucher applications received from all sites, meeting with patient when appropriate either in person or virtually to support their applications.

• Maintain accurate records of applications in the Electronic Health Record system and Electronic Dental Record system.
• Potential coverage for Patient Services Representatives as need arises.

• Other duties, as assigned.

Additional Requirements:

• Grants are a vital part of Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required trainings as designated by HR and the position supervisor
• Adhere to all policies within organization and those outlined withing the SCCC Employee Handbook
• Comply with all SCCC Vaccine Mandates
• Willingness to travel and work at other SCCC locations as determined by the supervisor
• Comply with all applicable Credentialing and Privileging requirements timely
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position supervisor
• Must participate in quality assurance/ improvement activities when applicable.

Qualifications:

To perform this job successfully, an individual must be able to engage in each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Must Haves to be Successful:

• Associates or bachelor’s degree or equivalent work experience
• Proficient customer service skills preferably healthcare but not required
• Basic knowledge of digital system (including Microsoft Office Suite) required
• Critical level of attention to detail
• Bilingual English/Spanish required

Nice to Haves:

• Customer Service Experience preferred
• Previous non-profit experience preferred
• Flexible and adaptable
• Self-motivated professional who is resourceful and well organized

Work Environment: The work environment is in a healthcare setting and can be fast paced and involve working directly with healthcare professionals. The environment is primarily an office setting working with teams and serving the needs of SCCC team members. The role will spend moderate time presenting to and speaking with new and prospective team members and visiting clinical settings to build credibility and relationships with all team members. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Live, work, and play in ‘Colorado’s Playground’! Summit County boasts four world class ski resorts with Vail Resort just 45 minutes away. With rivers, lakes, hiking, and mountain biking trails, Summit County is paradise for the outdoor enthusiast. From summer to winter, Summit County is a year-round destination with activities include skiing, snowboarding, cross-country skiing, snowshoeing, snowmobiling, hiking, biking, rafting, fishing, and boating. Music, art, cultural and social events are plentiful year-round. The different communities in Summit County include Frisco, Breckenridge, Dillon, and Silverthorne; ski resorts include Breckenridge, Copper Mountain, Keystone and Arapahoe Basin.

Summit Community Care Clinic:

• Provides rewarding, mission-driven careers in the heart of the beautiful Colorado mountains. As a member of the Care Clinic team, you will make an important difference in the lives of the patients you serve - changing lives every day. We have been nationally recognized for our integrated care model.
• Is a Federally Qualified Health Center (FQHC) that provides a full range of integrated care services including medical, dental, and behavioral health services through a team-based model of care. is highly valued as an important thread in the community fabric. There is an underlying appreciation of what the clinic provides to the community, and this creates a fulfilling workplace environment.
• SCCC currently offers the following:
• • Insured group health, dental, & vision plans
  • Medical and dependent care flexible spending account options
  • 401k retirement plan with an employer contribution match
  • Life, AD&D, and Long-term disability plans paid for by employer
  • Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
  • Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and short-term disability, and group pet insurance
  • A generous mix of vacation, sick and holiday paid days off
  • Lifestyle Spending Account (for Full Time employees)
  • Offer fringe benefits like ski medallion, rec center discounts, etc.
  • Training program for growth potential

As a condition of employment, Summit Community Care Clinic requires COVID-19 vaccination of all clinical and non-clinical staff.

If we sound like the kind of dynamic, caring organization that meets your requirements, apply now.