Pre-Enrollment Specialist - Insurance - Healthcare - Remote

Pre-Enrollment Specialist - Insurance - Healthcare - Remote 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

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