Enrollment Specialist - MA Duals

Position Summary:
Provide Medicaid enrollment services to Medicare primary patients.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Becomes proficient in all areas of understanding relating to Medicaire-Medicaid policy and procedure set forth by CMS and State requirements.

• Takes incoming calls from members who have been referred by Medicare Advantage Plans, and client ancillary referrals.

• Makes outgoing calls from client provided list to educate, inform and determine the needs and interests of the patient regarding the Medicaid Dual eligible program; the features, benefits and fees of the Medicaid program as directed by each individual State. Assess patient interest.

• Screen patients for Medicaid Secondary coverage based on income, insurance accessibility, and interest in the program.

• Completes Medicaid application for patient by phone and/or additional technological communications as needed.

• Determines and coordinates appropriate process for obtaining needed documentation and signatures from the patient and submit to Medciad processing center.

• Updates Care Enroll?s legacy system as to current financial status of accounts that have been reviewed and maintain In an ongoing active inventory.

• Adheres to the organization?s confidentiality policy and the protection of confidential information at all times including all company policies/procedures and the EnrollPlus Extended Policy.

• Treats members/family members, guests, staff and others with care, courtesy and respect.

• Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Competencies

• Great attention to detail and accuracy.

• Proficiency in basic computer skills.

• Working knowledge of Excel and Microsoft products.

• Analytical skills necessary to screen patients appropriately for various Governmental Programs.

• Strong Organizational, Planning and Time management skills and the ability to self-prioritize work.

• Agility ? the ability to adapt to changes in the market and client demands.

• Ability to maintain sensitive and confidential information.

• Exhibit the core values of the organization.
• Help First, Victor not Victim, Grow or Die, Make a Difference, Straight Talk

Supervisory Responsibility
This position has no supervisory responsibility.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
Position Type and Expected Hours of Work
This is a full-time position, and hours of work and days are Monday through Friday, 8:00 a.m. to 4:30 p.m. Evening and weekend work may be required as job duties demand.
Travel
Travel is primarily local during the business day. Remote work also available

Required Education and Experience

• High School Diploma or GED

• Experience in completing healthcare screening via phone.

• Working knowledge of HIPPA privacy requirements.

• Ability to relate to the Medicare demographic and indigent patients

Preferred Education and Experience

• Knowledge of pertinent Medicaid, Medicare/Medicare Advantage Plans.

Job Type: Full-time

Work Location: Multiple Locations