Healthcare Enrollment Coordinator
4 weeks ago
The Enrollment Specialist plays a crucial role in our Health Home Division, responsible for processing patient enrollments and updates into our lead health homes database. This involves utilizing referral processes, reviewing and auditing enrollment segments, and obtaining final approval to process documents for enrollment and billing.
Key Responsibilities- Researches and verifies patient enrollments to ensure compliance with lead health home providers' regulatory requirements.
- Contacts outreach specialists to obtain missing documents and communicates with the outreach team to walk them through the application and update process.
- Documents communication notes and resolution outcomes with lead health providers.
- Ensures lead health home compliance by submitting all data sources through eCares and Sharepoint, and confirms that all documents, including enrollments notes and consent forms, are accurate and complete.
- Verifies that all documents are complete and ready for upload into the lead health home systems.
- Responds to inquiries on enrollment status and update submissions to the outreach teams.
- Supports the department's administrative goals and requirements.
- Follows best practice and clinical standards, and adheres to departmental and State guidelines.
- High school diploma or equivalent required; Associate's 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 healthcare 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.
$21.00-$23.00 an hour
Equal Opportunity Employer: Essen Healthcare is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
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