Pre-Enrollment Specialist

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