Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
See attachment for additional details.
Work Schedule: Monday – Friday, 9 AM – 6 PM
Office Location: Primarily Remote, work from home. Hybrid option available for any of Partners NC locations.
Projected Hiring Range: $33,111.88- $40,207.28 (Depending on Experience)
Closing Date: Open Until Filled
Primary Purpose of Position: This position provides clerical support services to the Eligibility & Enrollment Department. Position will have the primary responsibility for data entry associated with all aspects of enrollment, eligibility, updating of consumer information, and appointment reconciliation. The Eligibility & Enrollment Processing Assistant will act as a liaison to other departments within the LME/ MCO and service providers and their support staff and will work in conjunction with all to ensure that all processes and procedures are followed regarding consumer eligibility.
Role And Responsibilities
Communicate on a consistent basis with the Eligibility & Enrollment team, Health Information Management Department, Claims Department, Call Center and service providers regarding corrections and resolution to issues that arise due to eligibility, discharge, and consumer information.
Manage Faxcore incoming faxes from providers, hospitals, medication requests and court ordered evaluations. Disperse fax requests to appropriate staff within the Eligibility & Enrollment Department and other departments as needed.
Coordinate and maintain Enrollments, Update Requests, Benefit Plan changes, Special Project Enrollment Forms, CNDS cross referencing, CNDS provider requests and consumer Discharges.
Maintain an accurate and current Eligibility and Enrollment procedure manual.
Verify departmental staff’s annual and sick leave to the ACCESS calendars.
Assist other departments within Partners with any appropriate requests in order to ensure accuracy of CDW data and verification of NCTracks data.
Verifying all required enrollment data has been collected, is accurate and is enrolled in NCTracks under Partners BHM
Work closely with the Eligibility & Enrollment Supervisor and the Health Information Management unit to resolve discrepancies
Approving and processing enrollments, updates and discharge requests, manual entry of Special Project Enrollment forms.
Attend Eligibility & Enrollment team meetings and other events identified by the Eligibility and Enrollment Manager and/or Eligibility and Enrollment Supervisor.
Compose memorandums, spreadsheets, and reports, as well as the review of written training/education and marketing materials.
Maintain files including but not limited to documents generated from the Eligibility & Enrollment Department and ACCESS department and electronic medical record documents received from providers.
Other duties as assigned.
Knowledge, Skills And Abilities
Considerable knowledge of office practices, techniques and technology sufficient to support the program
Knowledge of the MH/SU/ IDD system and terminology
Excellent communication and grammar skills utilizing accuracy and attention to detail
Excellent computer skills and proficiency in Microsoft Office products (Word, Excel, Outlook)
Ability to operate general office equipment (copier, switchboard, postage meter, fax machine)
Ability to gather information and produce reports
Ability to establish and maintain effective interpersonal relationships
Ability to analyze and interpret policy and procedural guidelines
Ability to organize work flow and coordinate activities
Ability to effectively problem-solve
Ability to recognize sensitive or unusual situations that should be referred to another more appropriate staff member or to the supervisor
Ability to manage and uphold integrity and confidentiality of sensitive data
Education/Experience Required: High School graduate or equivalent and two (2) years of administrative support experience; or an equivalent combination of training and experience.
Education/Experience Preferred: Experience that includes Medicaid eligibility
Work Schedule: Monday - Friday, 9 AM - 6 PM
Position will be primarily remote/work from home.
Will need to be available to attend in-person meetings.
Seniority level
Entry level
Employment type
Full-time
Job function
Management and Manufacturing
Industries
Hospitals and Health Care
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