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Senior Enrollment Coordinator
2 months ago
As a Senior Enrollment Coordinator, you will play a crucial role in initiating the referral and enrollment process for VNS Health plan services, striving to meet enrollment objectives. Your responsibilities will include conducting outreach to evaluate eligibility and addressing inquiries related to enrollment challenges, all while operating under general supervision.
Compensation:
$26.23 Hourly
What We Offer:
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 20 days and 9 company holidays
- Comprehensive health insurance for you and your family, including Medical, Dental, Vision, Life, and Disability
- Employer-matched retirement savings plans
- Programs for personal and financial wellness
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Tuition reimbursement for qualifying degrees
- Opportunities for professional development and career progression
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
Your Responsibilities:
In this role, you will:
- Educate consumers about VNS Health plans, including benefits and eligibility criteria.
- Review and verify the eligibility of potential enrollees; collaborate with New York Medicaid Choice (NYMC) to schedule assessments and follow up on outcomes.
- Provide Medicare assistance as necessary.
- Address inquiries related to pre-enrollment issues, eligibility, and program information to ensure customer satisfaction.
- Work with internal and external stakeholders to ensure timely processing and follow-up of referrals.
- Engage in outreach to potential enrollees referred through various channels, assessing their eligibility and directing them to the appropriate programs.
- Process daily enrollment submissions through the designated portal and maintain accurate member records.
- Collaborate with various departments and vendors to ensure timely enrollment of consumers.
- Ensure that Auto-enrolled members are accurately uploaded for vendor assignment.
- Prepare monthly reports on new enrollees, authorizations, and care manager assignments.
- Assist in monitoring and updating case lists within the Health Commerce System.
- Provide information on CDPAS processes and requirements for interested members.
- Conduct outreach to new enrollees and current members to obtain necessary medical orders for continued services.
- Maintain documentation of actions taken in the membership tracking database and upload required forms.
- Process daily requests for vendor assignments related to Care Management and Utilization Management activities.
- Schedule assessments and requests received for Select Health members.
- Conduct outreach to confirm acceptance of offered hours and facilitate necessary communications.
- Participate in special projects and perform additional duties as assigned.
Qualifications:
Licenses and Certifications:
Valid NYS driver's license or NYS non-driver's ID required.
Education:
Associate's Degree in health, human services, or a related field, or equivalent work experience required.
Work Experience:
Minimum of two years of customer service experience required. Proficient interpersonal, organizational, analytical, and writing skills are essential. Knowledge of Medicaid eligibility requirements is necessary. Proficiency in personal computers, including MS Excel, Word, and Outlook is preferred. Prior experience in a call center environment is advantageous.
