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VNS Health · 19 hours ago

Senior Enrollment Assistant (Bilingual Chinese preferred-mostly remote)

United States

Full-time

Remote

Mid, Senior Level

$20.98/hr - $26.23/hr

2+ years exp

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations, committed to innovating in health care for over 130 years. The Senior Enrollment Assistant initiates the referral and enrollment process for health plan services, provides consumer education, and collaborates with various departments to ensure timely enrollment and service satisfaction.

CharityHealth CareHome Health CareNon Profit

Responsibilities

Initiates the referral and enrollment process for VNS health plan services to achieve desired enrollment goals

Performs outreach to assess eligibility and troubleshoot inquiries related to enrollment issues

Provides consumers education on VNS Health plans benefits and eligibility requirements

Reviews and confirms potential enrollees eligibility; collaborates with New York Medicaid Choice (NYMC) in scheduling New York Independent Assessor (NYIA) assessments, including follow up to obtain CFEEC scheduled dates and outcomes as needed

Offers assignment of Medicare assistance as needed

Responds to inquiries regarding pre-enrollment issues, eligibility and program information to ensure service satisfaction

Works with our internal and external customers to ensure referrals are processed and followed up in a timely manner

Participates in outreach to potential enrollees referred via our referral inbox and/or fax

Reviews their eligibility and transfers them to the appropriate program

Schedules the NYIA assessments follow up as needed to obtain NYIA scheduled assessment dates and outcomes as needed

Processes daily submissions received internally for enrollment to Maximus via the portal

Maintains member record system with new employee enrollment documents

Works collaboratively with various departments and vendors to ensure consumers are enrolled in a timely matter

Ensures Auto (State mandatory) enrolled members are uploaded to Share Point for vendor assignment

Prepares monthly enrollment report for new enrollees start of care authorizations and care manager assignment

Assists in the monitoring and updating of our Health Commerce System case list

Provides education on CDPAS process and requirements for members interested in receiving CDPAS services

Provides outreach to new enrollees and current members and their PCPs to obtain new or recertification MD Orders for continued CDPAS services

Maintains and documents actions taken in our CDPAS membership tracking database and upload completed CDPAS Acknowledgment forms and MD Orders

Receives and processes daily Care Management (CM) and Utilization Management (UM) Activities request for vendor assignment

Creates activities for follow up as needed

Schedules SCIC and assessment request received via Share Point for Select Health members

Conducts daily outreach to potential enrollees to confirm acceptance of hours offered and completion of 3-way transfers calls with the potential enrollee and NYMC prior to the deadline

Participates in special projects and performs other duties as assigned

Qualification

Medicaid Eligibility RequirementsCustomer Service ExperienceAnalytical SkillsInterpersonal SkillsOrganizational SkillsCall Center ExperienceMS ExcelMS WordMS OutlookBilingual ChineseAttention to DetailWriting Skills