Senior Enrollment Coordinator
1 week ago
We are seeking a highly skilled Senior Enrollment Coordinator to join our team at VNS Health. As a key member of our enrollment team, you will be responsible for initiating the referral and enrollment process for VNS health plan services, ensuring timely and accurate processing of enrollments.
Key Responsibilities- Initiate the referral and enrollment process for VNS health plan services, ensuring timely and accurate processing of enrollments.
- Perform outreach to assess eligibility and troubleshoot inquiries related to enrollment issues, working under general supervision.
- Provide education on VNS Health plans benefits and eligibility requirements to consumers, reviewing and confirming potential enrollees' eligibility.
- Collaborate with New York Medicaid Choice (NYMC) in scheduling New York Independent Assessor (NYIA) assessments, including follow-up to obtain CFEEC scheduled dates and outcomes as needed.
- Offer assignment of Medicare assistance as needed, responding to inquiries regarding pre-enrollment issues, eligibility, and program information to ensure service satisfaction.
- Work with internal and external customers to ensure referrals are processed and followed up in a timely manner, participating in outreach to potential enrollees referred via our referral inbox and/or fax.
- Review eligibility and transfer them to the appropriate program, scheduling NYIA assessments and follow-up as needed to obtain NYIA scheduled assessment dates and outcomes.
- Process daily submissions received internally for enrollment to Maximus via the portal, maintaining member record system with new employee enrollment documents.
- Work collaboratively with various departments and vendors to ensure consumers are enrolled in a timely manner, ensuring Auto (State mandatory) enrolled members are uploaded to Share Point for vendor assignment.
- Prepare monthly enrollment report for new enrollees, start of care authorizations, and care manager assignment, assisting in the monitoring and updating of our Health Commerce System case list.
- Provide education on CDPAS process and requirements for members interested in receiving CDPAS services, conducting daily outreach to potential enrollees to confirm acceptance of hours offered and completion of 3-way transfers calls with the potential enrollee and NYMC prior to the deadline.
- Participate in special projects and perform other duties as assigned.
- Valid NYS driver's license or NYS non-driver's ID required.
- Associate's Degree in health, human services, or other related discipline, or the equivalent work experience required.
- Minimum two years experience in customer service required, with proficiency in interpersonal, organizational, strong attention to detail, analytical, and writing skills.
- Knowledge of Medicaid eligibility requirements required, with proficiency in personal computers, including MS Excel, Word, and Outlook preferred.
- Prior experience in Call Center setting preferred.
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Senior Enrollment Coordinator
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New York, New York, United States VNS Health Full timePosition OverviewThe Senior Enrollment Coordinator plays a crucial role in facilitating the referral and enrollment process for VNS Health plan services. This position is essential in achieving the targeted enrollment objectives.Key ResponsibilitiesInitiate and manage the enrollment process to ensure effective outreach.Conduct assessments to determine...
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Senior Enrollment Coordinator
1 week ago
New York, New York, United States VNS Health Full timePosition OverviewThe Senior Enrollment Coordinator plays a crucial role in initiating the referral and enrollment process for VNS Health plan services. This position is essential for achieving the desired enrollment objectives.Key ResponsibilitiesConduct outreach efforts to evaluate eligibility for enrollment.Address and resolve inquiries related to...
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