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We are looking for an Enrollment Specialist to support client access to healthcare-related community services in Santa Barbara, California. This Long-term Contract position focuses on enrollment coordination, eligibility monitoring, documentation accuracy, and service quality oversight for individuals receiving homeless services. The person in this role will help maintain compliance with program standards while partnering with staff to improve workflows and support timely reimbursement activities.
Job Responsibility
Guide eligible clients through enrollment into programs, completing and processing required forms accurately and on time
Partner with homeless services teams to monitor ongoing client eligibility, update records, and help prevent interruptions in approved coverage or support
Examine case management documentation to confirm services are properly recorded, clinically appropriate, and aligned with reimbursement standards
Coordinate with program and case management staff to track authorization timelines and support timely submission of renewal requests before expiration
Review claims-related records and supporting documentation in the Health Management Information System to promote accurate billing and complete file maintenance
Participate in meetings with internal teams and external partners to address service quality, operational needs, and continuous improvement efforts
Provide additional administrative and program support as needed to assist with successful day-to-day execution of CalAIM initiatives
Requirements
Experience supporting enrollment, annual enrollment, or open enrollment activities in a healthcare or human services setting
Knowledge of eligibility verification, benefits coordination, and documentation practices related to client service programs
Ability to review case notes and service records for accuracy, completeness, and alignment with program or billing standards
Strong computer data entry skills with the ability to maintain organized and reliable records in electronic systems
Familiarity with health care terminology, client support processes, and reimbursement-focused documentation standards
Effective communication skills and the ability to work collaboratively with case managers, service staff, and external partners
Strong attention to detail and the ability to manage multiple deadlines involving enrollments, authorizations, and follow-up tasks.