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Enrollment Specialist

3 months ago

Marietta, Ohio, United States Oriana House Full time
Essential functions of this job include, but are not limited to:

Enrollment Responsibilities:
  • Checks identity and payer eligibility with appropriate dates in an accurate and timely manner.
  • Enters accurate billing information into the Electronic Health System in a timely manner to ensure client payer source is identified and properly billed.
  • Reviews all clients entering or engaged in treatment services to ensure they are receiving insurance benefits on weekly and as needed basis.
  • Determines and plans for collection of co-pays in an accurate and timely manner if applicable.
  • Works the GOSH system for ADM clients in an accurate and timely manner.
  • Assists clients with accurate and timely Medicaid applications.
  • Effectively and courteously greets and directs all visitors in the building (clients, applicants, employees, vendors, etc.).
  • Works a flexible schedule in order to meet with clients who have various scheduling needs due to programming requirements and work schedules; this includes evenings as needed to ensure all clients are given access to enroller services.
  • Effectively communicate with Caseworkers regarding enrollment status in an accurate and timely manner.
  • Enters prior authorization obtained into Carelogic in an accurate and timely manner.
Qualifications: High School diploma or equivalent required. Clinical/program experience desired, but not required. Strong computer skills including, Microsoft office Suite required. Must be willing to learn and become proficient with electronic health record system. Must possess strong organizational and accuracy skills. Must possess exceptional verbal and written communication skills. Reliable transportation, valid Ohio Driver's license, and a driving record that does not preclude the employee from being covered by Agency liability insurance. Must have the ability to effectively work with Agency employees, outside contacts, and a diverse client population.

Benefits:
  • ANTHEM PPO plus prescription card
  • $20,000 TERM-LIFE INSURANCE POLICY
  • LONG-TERM DISABILITY INSURANCE (60% of lost income on 91st day of disability).
  • VACATION HOURS - 80 hours (10 days) per year (accrue at rate of 6.72 hours per month) to a maximum of 600 hours.
  • PERSONAL-SICK HOURS - 80 hours (10 days) per year (accrue at a rate of 6.72 hours per month) to a maximum of 400 hours (50 days).
  • HOSPITAL HOURS - 96 hours (12 days) per year (accrue at a rate of 8 hours per month) to a maximum of 288 hours.
  • HOLIDAYS - eight paid holidays
  • TUITION REIMBURSEMENT PROGRAM (must be employed for one year).
  • EMPLOYEE ASSISTANCE PROGRAM (EAP)
  • RETIREMENT PLAN 403(b)
  • DENTAL PLAN (Employee paid)
  • FLEXIBLE SPENDING ACCOUNTS (FSA)
Oriana House Recruiters may reach out to applicants via text messaging.

Oriana House, Inc., is an Equal Opportunity Employer and Drug Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)