Enrollment Specialist I

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  "last_changed_at": "2026-05-31T19:06:30.916Z",
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  "location": {
    "raw": "Michael Gottlieb Health Center - West Hollywood, CA 90046; 7531 Santa Monica Blvd, West Hollywood, CA, 90046, USA",
    "city": "West Hollywood",
    "region": "CA",
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    "city": "West Hollywood",
    "jobId": 334500,
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    "jobShift": "Day",
    "jobTitle": "Enrollment Specialist I",
    "location": "Michael Gottlieb Health Center - West Hollywood, CA 90046",
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    "clientCode": "0R293",
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    "description": "<p style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><strong><span style=\"font-family:&quot;Arial&quot;,sans-serif\">POSITION SUMMARY:</span></strong></span></p>\n\n<p style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Under the direction of the Enrollment &amp; Eligibility Manager, and in accordance with HRSA contract requirements, the Enrollment Specialist I assists clients, either directly or through referral, with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, and MHLA, as well as with the process of accessing Public Benefits.</span></span></p>\n\n<p style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>\n\n<p style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><strong><span style=\"font-family:&quot;Arial&quot;,sans-serif\">ESSENTIAL DUTIES AND RESPONSIBILITIES:</span></strong></span></p>\n\n<ul>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Screen clients using PointCare for eligibility in and assist with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, MHLA, commercial products, Ryan White, ADAP, and PrEP-AP as well as with the process of accessing Public Benefits.</span></span></li>\n</ul>\n\n<ul>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Serve as the APLA Health &amp; Wellness point of contact for addressing issues related to health plans that are part of independent physicians associations (IPAs) that APLAHW contracts with, including, but not limited to Health Care LA IPA and Regal Medical Group. </span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Documents contacts and maintains files, utilizing Point Care <span style=\"background-color:white\"><span style=\"color:#202124\">for enrollment allowing them to accurately qualify and enroll patients into coverage, faster.</span></span></span></span></li>\n\t<li><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Stays current with APLA Health programs. </span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Follow up to verify the status of enrollment applications and assist clients who are experiencing problems.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Complete a comprehensive benefits and qualified health insurance assessment for each client. </span></span></li>\n\t<li><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Maintain and update all client records via eClinicalWorks electronic health record system and reviews to verify and ensure data entered are accurate.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Answer and respond to incoming telephone calls and emails regarding eligibility in qualified health plans and Public Benefits according to agency policy.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Describe what a summary of benefits document is and where to locate a summary of benefits. Explain where to find information about provider networks.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Collaborate with other programs at APLA Health &amp; Wellness and other service organizations to facilitate the provision of services.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Maintain an extensive awareness of client resources, both agency-wide and Federally Qualified community based healthcare organization (FQHC).</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Prepare reports and client records as required to meet APLA Health &amp; Wellness, city, state, and federal program requirements. </span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Follow agency policies and maintain agency standards with regards to client confidentiality and HIPAA compliance.</span></span></li>\n\t<li><span style=\"font-family:Garamond,serif\"><span style=\"font-family:&quot;Arial&quot;,sans-serif\">Effectively communicate with clients/patients in English and Spanish as required per aforementioned job duties.</span></span></li>\n</ul>\n\n<p><span style=\"font-family:&quot;Arial&quot;,sans-serif\">OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.</span></p>\n",
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Explain where to find information about provider networks.\\n\\tCollaborate with other programs at APLA Health &amp; Wellness and other service organizations to facilitate the provision of services.\\n\\tMaintain an extensive awareness of client resources, both agency-wide and Federally Qualified community based healthcare organization (FQHC).\\n\\tPrepare reports and client records as required to meet APLA Health &amp; Wellness, city, state, and federal program requirements. \\n\\tFollow agency policies and maintain agency standards with regards to client confidentiality and HIPAA compliance.\\n\\tEffectively communicate with clients/patients in English and Spanish as required per aforementioned job duties.\\n\\n\\nOTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.\\nQualificationsREQUIREMENTS:\\nTraining and Experience: \\nA high school diploma and 1 year experience in beneftis enrollment. Must be trained as a Medi-Cal Enroller, Covered CA Certified Enrollment Counselor (CEC) and ADAP/OA HIPP/PrEP-AP Enroller or acquire these certifications within six (6) months of hire. A proficiency in writing, proofreading and grammar skills is important, as well as interpersonal customer service skills. Bilingual Spanish/English required. \\n \\nKnowledge of: \\nInterviewing and assessment techniques; vocational rehabilitation and/or related occupational fields, knowledge of word processing and eClinicalWorks electronic health records data entry; HIV disease and related chronic illness and disability issues; comprehensive understanding of public benefits programs and policies; qualified health plans, including, but not limited to Covered CA, Medi-Cal, Medicare, My Health LA, and Ryan White. 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    "legalRevisionDate": {
      "date": "2021-10-27T14:29:44.000Z",
      "timezone": "America/Chicago",
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