Enrollment Coordinator

Nascentia Health•Syracuse, NY

20h•Onsite

About The Position

The Enrollment Coordinator is responsible for handling all incoming inquiries and referrals, as well as member enrollment and disenrollment processing for Nascentia Health insurance plans. Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities. Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

Requirements

High school diploma.
2 or more years’ experience in customer service and/or healthcare field.
Strong interpersonal, communication and problem-solving skills.
Ability to stay calm in difficult and stressful situations.
Demonstrates discretion in handling confidential and sensitive information, maintaining a positive and empathetic stance when dealing with all internal and external customers.
Strong working knowledge of, and experience using a wide variety of software platforms including Microsoft Office Suite (Outlook, Word, Excel and PowerPoint).
Demonstrate ability to work independently and collaboratively

Nice To Haves

Associates degree preferred in related field.

Responsibilities

Respond to enrollment inquiries and provide detailed plan information to ensure understanding of plan benefits, maximizing member enrollment.
Answer calls and respond to customer complaints.
Works with the language assistance line for those who have limited English proficiency.
Determines plan eligibility for Medicaid, Medicare, and integrated product lines.
Obtain necessary information and/or documentation from external providers.
Create Electronic Health Records (EHR) for new members and maintains current member demographic information as provided.
Process all required enrollment files and information communicating to the appropriate state and local departments: Maximus, DOH, CMS, LDSS
Track and report consumer and member key performance indicators for senior leadership.
Generate and process correspondence related to the enrollment and disenrollment processes.
Adheres to Nascentia Health policies and procedures ensuring compliance with the Department of Health (DOH) and Centers for Medicare and Medicaid Services (CMS).
Performs all other duties as assigned.