Overview The Certified Enrollment Counselor supports the mission of AAA Comprehensive Healthcare by expanding patient access to healthcare services through effective insurance enrollment and renewal. This position assists patients and families with health insurance applications, renewals, and coverage maintenance across Medi-Cal, Covered California, and other public or private health programs. The Certified Enrollment Counselor ensures that both patients and providers maintain continuous participation in insurance networks, promoting equitable access to high-quality, affordable care.

Supervision:

Reports directly to Chief Operations Officer (COO). Attendance at HIPAA and Compliance educational programs is a requirement of employment.

Responsibilities:

• Assist patients and families in understanding and applying for health coverage including Medi-Cal, Presumptive Medi-Cal, FPACT, Covered California, and other public programs.
• Conduct eligibility screenings and ensure all required documentation is accurate and submitted promptly.
• Provide patient education and outreach on available health coverage options and preventive care benefits.
• Help patients maintain insurance coverage by assisting with renewals and re-determinations to prevent lapses.
• Work with health center to identify uninsured or underinsured patients and connect them to coverage or financial assistance programs.
• Respond to patient inquiries regarding insurance coverage, eligibility, and available programs in a professional and compassionate manner.
• Ensure confidentiality and compliance with HIPAA and AAA Comprehensive Healthcare's privacy policies in all patient interactions.
• Document enrollment activities, outreach efforts, and patient interactions in the electronic health record (EHR) and submit accurate monthly reports.

Minimum Qualifications:

• High school diploma or equivalent required; associate or bachelor's degree preferred.
• At least two (2) years of experience in patient access, enrollment, or related healthcare administrative role, preferably in a Federally Qualified Health Center (FQHC).
• Certified Enrollment Counselor (CEC) certification required upon hire.
• Knowledge of Medi-Cal, Covered California, and other public assistance programs required.
• Proficiency with Microsoft Office and EHR systems (NextGen or eClinicalWorks preferred).
• Ability to communicate effectively with diverse populations; bilingual (English/Spanish) strongly preferred.
• Must possess a valid California driver's license and reliable transportation.

Required Skills and Abilities:

• Excellent communication, interpersonal, and customer service skills.
• Strong organizational and time management abilities with attention to detail.
• Ability to work independently and as part of a multidisciplinary team.
• Commitment to serving underserved and diverse communities.
• Ability to handle sensitive patient information with discretion and confidentiality.
• Proactive and resourceful in identifying solutions to patient access barriers.

Working Conditions and Physical Requirements:

• Work performed in a standard office or health center setting with frequent computer and telephone use.
• Ability to stand, sit, and walk for extended periods.
• May occasionally lift or carry up to 25 pounds.
• Regular attendance and punctuality are essential functions of the position.

Join us as a Certified Enrollment Counselor and become an essential part of a team dedicated to improving access to healthcare through compassionate guidance and expert support!

Pay:

$22.00 - $23.00 per hour Expected hours: 40.0 per week

Benefits:

Health insurance Paid sick time Paid time off

Work Location:

In person