Enrollment Representative - FMOL PACE Baton Rouge

FMOLHS•Baton Rouge, LA

About The Position

Responsible for the screening of potential new participants for PACE Baton Rouge / Lafayette Responsible for the intake process of each Potential Enrollee. Responsible for completing and obtaining Medicaid verification information for initial and yearly renewal applications for the State Medicaid Program. Responsible for the entire enrollment process. Collaboration with Leadership and Marketing Specialist on marketing strategies and community outreach.

Requirements

2 years in healthcare with at least 1 year working with the frail/elderly population or closely related care field
Required: Associate degree
Multi-tasking, prioritize tasks, creativity, computer skills, attention to detail.

Responsibilities

Performs all intake screenings to initiate the application to PACE Baton Rouge/Lafayette.
Initiates the entire enrollment process into the PACE program.
Receives intake telephone calls, explains the program, screens for eligibility criteria, completes the Inquiry Screening Form.
Schedules and coordinates intake activities.
Refers to other community resources as appropriate.
Performs the intake visit on site and if necessary in the home.
Ensures the potential enrollee has all necessary information concerning enrollment into PACE and prepares them for the assessment process, giving them all the information and forms needed for the process.
Communicates with hospitals, nursing homes, physician and other community agencies for follow up in completion of the intake record.
Provides follow up communication and correspondence to complete the enrollment process.
Integral part of the Interdisciplinary Team with focus on giving information to staff, in order for team to make quality decisions for enrollment.
Completes enrollment activities and signatures for potential enrollees collaborating with Medicaid and required documentation.
Oversees and maintains the intake/enrollment documents and enters information in the electronic medical record
Complies with State Medicaid requirements for initial and annual Medicaid applications within timeframe requested.
Responsible for initiating Medicaid applications and obtaining verification information for completion of Medicaid process.
Corresponds and communicates with OAAS/DHH to complete necessary documentation to process applications.
Communicates with Enrollees/Participants and caregivers to complete the application process.
Collaboration with Leadership and Marketing Specialist on marketing strategies and community outreach, i.e. presentations, health fairs
Advanced ability in the use of computer software, correspondence skills, report writing and telecommunications in order to provide necessary information for Board meetings and Leadership meetings.