Pre-Enrollment Specialist
Pre-Enrollment Specialist - Job Description
Overview
HealthXL provides virtual patient care services under the guidelines of Medicare’s Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. The Pre-enrollment Specialist (PES) position requires the ability to prioritize work and easily move between pre-enrollment activities. The PES initiates outbound phone calls to insurance companies to verify coverage and eligibility for RPM/CCM, updates and maintains the insurance database. A successful PES will exhibit excellent time management and communication skills. Full and part-time remote positions available.
- Responsibilities
- Maintains a thorough, up-to-date understanding of program (CCM/RPM) eligibility requirements
- Updates and maintains insurance database with verified, accurate coverages
- Initiates outbound calls to insurance providers to verify coverages not in the database
- Accesses multiple EMR platforms to verify patient eligibility for CCM/RPM.
- Maintains accurate time keeping in ADP
- Understands and follows all applicable regulatory guidelines
- Adheres to company policies including Attendance and PTO
- Willingness to cross train in support of multiple Enrollment Services functions.
- Attends scheduled meetings and trainings and participates as requested
- Qualifications
- Demonstrates iCare values: Integrity, Growth, Excellence
- Familiar with insurance plans/verification processes in clinic setting
- Training/experience with coding/billing helpful
- Dependable, self-directed, ability to prioritize tasks, solid time management skills
- Superior verbal communicator, remains positive and demonstrates empathy
- Demonstrated ability to provide accurate, thorough documentation
- Ability to quickly learn and navigate multiple computer platforms
- Experience working in EMRs preferred
- Comfortable with Excel spreadsheet data entry
- Fluent communicating in English, additional language proficiency a plus
- HIPAA compliant workspace
- High speed Internet connection
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