ACO Enrollment Specialist Coordinator

Company: Prime Healthcare
Location: Kansas City
Posted on: March 19, 2023

Job Description:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Work closely with Accountable Care Organization (ACO) REACH Manager and under the direction of leadership, the Enrollment Specialist/Coordinator will be responsible for providing administrative and clerical support within area of responsibility that may include support, organizational skills, distributing correspondence, data analyses, and reporting. All within established legal guidelines and maintaining confidentiality at all times.
The Enrollment Specialist is responsible for coordinating all activities related to the enrollment of beneficiaries into Medicare/ACO REACH programs. Assist with the eligibility, intake, and enrollment process of new patients, and thoroughly discusses the patient's rights prior to enrollment into: Medicare, or other state or local funded programs. Responsible for ensuring the provision of accurate and appropriate screenings/intake of prospective beneficiaries, providing information and referrals to patients and their families. The Enrollment Specialist will need to have full understanding of the various health plans preferably offered in Missouri and Kansas service area, including medical, dental, senior, and care management programs/services. The Specialist must work as part of a team, concentrating on the delivery of high-quality services to all our beneficiaries. Required:
1. High School Diploma or GED Certificate
2. Minimum of 1 years of experience in Tele sales, patient navigator, intake/enrollment or customer service experience in the healthcare industry is required.
3. 1-3 years of experience (administrative and program coordination) Preferred:
1. Over 2-3 years of experience within healthcare industry
2. Certified Enrollment Counselor (CEC); Complete the CEC training and certification within 6 months of employment.
3. Bilingual: Spanish/English required.
4. Over 3-5 years of experience within healthcare industry (administrative and program coordination) We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law:https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Keywords: Prime Healthcare, Kansas City , ACO Enrollment Specialist Coordinator, Other , Kansas City, Kansas