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Position Title: Enrollment Specialist
Department: Health Home Division
Our growing Health Home Division is a "Virtual Home" for Medicaid recipients with chronic health conditions. It is a care management model where all individual caregivers communicate to address patient's needs in a comprehensive manner. Essen's health home division has a team of care coordinators who function as connectors and coordinators to a patient's care team and connect members to the social services they need, including housing, transportation to appointments, medication reminders, educational courses, financial support and more.
Job Summary
The Enrollment Specialist is responsible to perform various data entry functions. The incumbent must be able to process multiple members’ enrollment documentations and updates into the lead health home’s database. The process includes utilizing the lead health home referral processes, reviewing and auditing the enroll segments, and obtaining final approval to process the documents to enroll and bill.
Responsibilities:
1. Researches, verifies, and processes patient enrollments as part of the lead health home providers regulatory requirements.
2. Contacts the outreach specialists to verify and obtain additional missing documents prior to submission to the lead health home electronic portal.
3. Communicates with the outreach team to walk them through the application and update process and requirements to upload the
4. Documents communication notes and resolution outcomes with lead health providers.
5. Assures lead health home compliance that all data sources though eCares and SharePoint are submitted in its entirety and confirm that all documents, including enrollments notes and consent forms are accurate and all revalidation documents, pending internal approvals are ready for upload.
6. Checks and verifies that all documents are complete and ready for upload into the lead health home systems.
7. Responds to inquiries on the enrollment status and update submissions to the outreach teams.
8. Support the department's administrative goals and requirements
9. Follows best practice and clinical standards, and adheres to departmental and State guidelines.
10. Performs all other duties or actions as required
Job Requirements
· Associate' s degree is required, Bachelors degree preferred. At least three years of equivalent experience will be considered in lieu of degree.
· Excellent organizational, communication and interpersonal skills.
· Strong customer service experience, preferably in a provider services call center or billing department.
· Strong track record in performing comfortably in a fast-paced, deadline-oriented work environment.
· Proficient in Microsoft Office suite and other Web based platforms.
· Ability to work as a team member and independently.
· Ability to successfully execute multiple tasks simultaneously.
· Experience in a health care environment.
· Strong understanding of provider billing practices and claim processing.
· Must be able to remain in a stationary position for an extended period of time.
Job Type: Full-time
Pay: $21.00 - $23.00 per hour
Benefits:
Schedule:
Education:
Language:
Work Location: In person
Full Time
$53k-64k (estimate)
01/11/2024
06/07/2024
The job skills required for Enrollment Specialist include Customer Service, Billing, Microsoft Office, Health Insurance, Health Care, Data Entry, etc. Having related job skills and expertise will give you an advantage when applying to be an Enrollment Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Enrollment Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Enrollment Specialist positions, which can be used as a reference in future career path planning. As an Enrollment Specialist, it can be promoted into senior positions as an Enrollment & Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Enrollment Specialist. You can explore the career advancement for an Enrollment Specialist below and select your interested title to get hiring information.
If you are interested in becoming an Enrollment Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Enrollment Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Enrollment Specialist job description and responsibilities
Some enrollment specialists focus on adult education or career counseling, thereby helping students enter the job market.
03/17/2022: Bremerton, WA
At smaller schools, the enrollment specialist might also be responsible for ensuring that all tuition and fees are paid prior to enrollment.
03/01/2022: Galveston, TX
Enrollment specialists may also be tasked with helping current students stay on track by providing guidance about academic programs or career services.
03/09/2022: Columbus, MS
Enrollment specialists can capitalize on this trend by developing strong relationships with potential students.
02/18/2022: Montgomery, AL
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Enrollment Specialist jobs
While hospitals, schools and government programs are some of the most likely places an enrollment specialist might work, many types of businesses hire such specialists.
01/28/2022: Norfolk, VA
Sometimes employers post jobs with Enrollment Specialist skills but a different job title.
02/02/2022: Alexandria, LA
As more and more students opt to take classes online, enrollment specialists will need to learn how to market their schools to this audience.
01/07/2022: Great Falls, MT
Step 3: View the best colleges and universities for Enrollment Specialist.