SCOPE OF POSITION: Responsible for the communication, education, and promotion of the Independent Choices - Self Directed Care project through Public Partnerships (PPL). The Enrollment Specialist will provide communication, education, and promotion and will collaborate with medical and other professional staff to meet contract deliverables within designated timeframes. Communicates with internal and external staff and “participants and “employees” to ensure timely provision of services and appropriate follow up. Responsible for online or face to face training of “participants” and “employees” in the enrollment process. Responsible for working with initiatives and practices that support achievement towards improved processes and outcomes. Support the organization’s mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence Accountability, Respect and Teamwork.

ESSENTIAL JOB FUNCTIONS:

1. Follow up on referrals for participant-directed services.
2. Support the individual/employer and their provider(s) in completing all necessary documentation required for enrollment.
3. Educate the individual/employer on interacting with Public Partnerships as their fiscal intermediary, with emphasis on their authorized services, timesheet completion, enrolling subsequent providers and keys to successful self-direction.
4. Identify potential barriers and bottlenecks to timely enrollment and takes necessary steps to triage and resolve.
5. Engage the entity providing case management or service/support coordination services to the individual to ensure timely coordination of service approval and authorization.
6. Perform in-home visits of Individuals as applicable by program. 
7. Collaborate with internal and external stakeholders as necessary to ensure enrollment cycle times are minimized and the first payment to the provider(s) is received on time and in full.
8. Assess Participant’s and/or authorized representative’s ability to communicate, acquire new information, act as an employer and otherwise successfully participate in a self-directed employer and/ or budget authority service model. 
9. Communicate with Participant or authorized representative about additional supports or accommodations necessary for successful program participation.
10. Provide person-centered, need-based program education and guidance to Participants and authorized representatives specific to individual choices, goals and desired outcomes.
11. Explain and educates on Participant/ authorized representative and provider roles and responsibilities for participation in self-directed services, including processing payroll, vendor payments, tax withholding and reporting.
12. Provide direct, including train-the-trainer, instruction on how to navigate program rules, expectations and Financial Management Systems, including online enrollment, service time capture, portal and emerging technologies.
13. Provide train-the-trainer instruction on identification and reporting of suspected fraud, abuse, neglect and exploitation. 
14. Identify, report, and appropriately follow up on allegations or reports of suspected fraud.
15. Assess for participant abuse, neglect, and exploitation, following the appropriate reporting protocol where necessary. 
16. Maintain documentation of services provided and time committed in accordance with applicable policies and procedures.
17. Performs all functions necessary to support the enrollment of the individual/employer/authorized representative and provider(s) including processing enrollment documentation, obtaining employer identification numbers, completing criminal background checks, and other enrollment related requirements.
18. Communicate referral corrections, as needed, to entities providing case management or service/support coordination entities services to the individual.
19. Meet quality assurance standards as applicable to program.
20. Update enrollment status of individual participants and providers through portal and records in systems.
21. Documents and reports evidence of individual’s inability to self-direct appropriately.
22. Ensure AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.
23. Adhere to format, content and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality.
24. Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.
25. Additional duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Must possess intermediate level computer skills (Excel, Word, Power Point and Outlook).
• Type 50 wpm.
• Exceptional skills in business English and spelling.
• Ability to maintain confidentiality.
• Excellent oral and written communication skills.
• Creativity.
• Customer service.
• Ability to meet deadlines.
• Excellent attention to detail.
• Flexibility.
• Ability to work collaboratively and independently to achieve stated goals.
• Initiative.
• Ability to relate professionally and positively with staff, business partners, customers, constituents, members and the public.
• Ability to multitask.
• Ability to prioritize.
• Strong organizational skills.
• Problem solving skills.
• Professionalism.
• Ability to read, interpret and apply laws, rules and regulations.
• Knowledge of quality improvement processes and techniques.
• Valid driver’s license. 
• Time management skills.
• Ability to work overtime as needed.
• Ability to work with persons with disabilities.

Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):Mobility, reaching, bending, lifting, grasping, ability to read and write ability to communicate with personnel, ability to remain calm under stress. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations. 

EDUCATION:Required: Bachelor’s degree in related field. 1

EXPERIENCE:
Required: One (1) year experience in customer service, data entry, teaching, mentoring, or coaching with outcome-based expectations. One (1) year serving individuals with disabilities and/or aging adults. 

INTERNET REQUIREMENTS:Reliable, high-speed wireless internet service (Wi-Fi)
An upload speed of at least 2Mbps is required to support softphone functionality.

[1] Three (3) years work experience in related field may be substituted for the Bachelor’s degree. If work experience is substituted it is in addition to stated work experience requirements.