Enrollment Specialist Job at Center for Human Development
Receives enrollee referrals, electronically and telephonically from MassHealth, ACOs, MCOs, and community providers
- Reviews EHR portal throughout the day and develops a revolving call schedule to ensure that enrollees are assigned a Care Coordinator within five business days
- Verifies eligibility for CP services with MassHealth or the applicable ACA
- Applies decision tree to assign enrollees to appropriate CP treatment teams
- Initiates recruitment contact to enrollees, either by phone calls or conducts outreach visits to enrollees’ homes or community settings
- Utilizes multiple vehicles in order to obtain updated contact information for enrollee
- Introduces enrollee to the ICP program
- Assigns enrollees using established protocols and criteria
- Responds to enrollee questions and concerns in a timely manner, provides enrollee handbook and has enrollee review, understand and sign participation form and any other Community Partner program information
- Verifies demographic and insurance information of enrollees
- Establishes electronic health record for enrollees
- Schedules initial visit for Care Coordinator
- Facilitates communication between enrollee and care team members
Expectations: Outreaching to various communities
- Connecting with different agencies to assist with enrollment
- Signing up enrollee’s on our assignment list
- Knowledge of ICP and being able to talk about it.
- Ability to work with people from different backgrounds.
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