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Enrollment Specialist

Job Description

Kind, friendly, truly caring & supportive company environment looking for an addition to add to the company family.

Someone with the skills along with patience and positive attitude who's willing & able to take instruction and learn their specialized position.

Hands on training is part of our culture; be ready for everyone to help teach you the position with kindness, care & respect. All that is asked is the same kindness, care & respect in return.

 

Primary focus points of the position are:

- Enrollment onboarding (multi-method communication)

- Document management/continuity (multi-method communication)

- Active customer account continuity & assistance (multi-method communication)

 

We are looking for a customer-oriented service representative. A customer service representative, or CSR, will act as a liaison, provide services information and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. The best CSRs are genuinely excited to help customers. They’re patient, empathetic, and passionately communicative. They love to talk. Customer service representatives can put themselves in their customers’ shoes and advocate for them when necessary. Problem-solving comes naturally to customer care specialists. They are confident at troubleshooting and investigate if they don’t have enough information to resolve customer complaints. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction.

Responsibilities

As an Enrollment Specialist; contacting new referrals and walking them through the enrollment process along with explaining how the services work; doing this with respect, patience & kindness.

  • Remain self-driven with quality and consistency in all that you do.

  • Identify and assess customers’ needs to achieve satisfaction.

  • Build sustainable relationships and trust with customer accounts through open and interactive communication.

  • Provide accurate, valid and complete information by using the right methods/tools and reach out for assistance any and every time that it's needed

  • Handle customer complaints, provide appropriate solutions and alternatives ; follow up to ensure resolution and reach out for assistance any and every time that it's needed

  • Log records of customer interactions, process customer accounts and file documents

  • Follow communication procedures, guidelines and policies.

Skills

  • PC skills; via Customer Records Management software.

  • Proven customer support experience with professionalism, kindness & patience.

  • Professional and kind phone contact handling skills and active listening.

  • Task & Calendar follow-up self-scheduling & up keep.

  • Familiarity with CRM systems and practices.

  • Customer orientation and ability to adapt/respond to different types of characters.

  • Excellent communication skills.

  • Ability to multi-task, prioritize, and manage time effectively.

  • High school degree

Physical Demands for the job

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

  • 1. The employee is regularly required to stand, walk, and sit, as well as talk and hear.
    2. The employee is required to use hands to operate office equipment.
    3. The employee must occasionally lift and/or move up to 20 pounds.

 

Job Type: Full-time

Pay: $14.00 - $18.00 per hour

Expected hours: No less than 40 per week

Benefits:

  • Health insurance

  • Dental Insurance

  • PTO (Paid Time Off)

  • Holiday Pay

  • 401(k)

  • Employee assistance program

  • Flexible schedule

  • Flexible spending account

Work Location: In person

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Medical Insurance Specialist

Job Description

Kind, friendly, positive-minded & supportive workplace

Medical Insurance Specialist: Pluses +Brightree® software experience & friendly, helpful Customer Service skills: Definitely multi-tasks skills ^^

Description of Responsibilities:
Monitor and verify insurance information for individual patients and procedures. Saying abreast of co-pays, benefits, coverage and authorizations. Enter data and validate individual and cross-patient information. Posting insurance and patient payments. Following up on claim rejections.

Responsibilities

Insurance verification aspect:

Specialist is a health care professional working to ensure that patients' health care benefits cover required procedures.

- Contacts a patient's insurance company to verify coverage levels and works with individuals to educate them on their benefits information and if there are any out of pocket cost.

- This information can be obtained by calling and/or using the specific website to confirm coverage.

- Obtaining referrals/ authorizations for patients when needed.

- Tracking referrals and prior authorizations

- Appealing/ Peer-to-Peer which follows an authorization denial

- Calculate the reimbursement charge based on the reimbursement rates provided

- Notify manager with patient account and insurance issues

- Additional miscellaneous clerical as assigned

Claims Follow Up aspect:

- Work aging to follow up on unpaid claims

- Utilize EOBs and communicate with insurances to determine reasons for non-payment and resubmit with corrected information.

- Make sure the insurances that require authorizations have been updated and obtained

- Status claims that seem to not have been resolved within 45 days

- If rejected make sure that you have submitted claim to the correct payor id and/or address

- If claims are not getting reimbursed because of insurance reasons, notify patient to process return of equipment

- Additional miscellaneous clerical as assigned

 

Skills:

  • Ability to explain benefits/ coverage to patient or doctor

  • Excellent communication skills.

  • Ability to multi-task, prioritize, and manage time effectively

  • Proficient in computer applications and phone systems.

  • High school degree

Minimum Qualifications

  • 1-year Insurance Verification experience or Education Certification in field.

 

Physical Demands for the job

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

1. The employee is regularly required to stand, walk, and sit, as well as talk and hear.
2. The employee is required to use hands to operate office equipment.
3. The employee must occasionally lift and/or move up to 20 pounds.

 

Job Type: Full-time

Pay: $15.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

  • Health insurance

  • Dental Insurance

  • PTO (Paid Time Off)

  • Holiday Pay

  • 401(k)

  • Employee assistance program

  • Flexible schedule

  • Flexible spending account

Education:

  • High school or equivalent (Preferred)

Experience:

  • Insurance verification: 1 year (Required)

  • Customer Service: 1 year (Required)

Work Location: In person

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