This role will be contacting patients via telephone who have Chronic Diseases to discuss Chronic Care Management program benefit. Coordinates enrollment into CCM program over the telephone adhering to both CMS and Orb Health organizational policies, procedures, and guidelines.
 

Patient Enrollment Specialist will:

• Determine patient eligibility based on insurance coverage, and program requirements.
• Educate patients on the benefits of the care management program.
• Explain all details for enrollment to patients and ensures that they are following federal/CMS requirements.
• Obtain patient’s verbal agreement to enroll into the care management program.
• Document all required elements and meets quality and compliance standards for CMS and Orb Health.
• Work efficiently to meet daily requirements for enrollment goals.
• Participate in education & in-service programs
• Assist with special projects as needed.

Qualifications

• 3 years of experience in physician front/back office
• Bilingual in Spanish
• Experience working with the adult population
• Experience working as telecommuter or call center setting.
• Experience working with Electronic Health Record (EHR)
• ​​​​​​​High school diploma or GED
• Experience in customer service setting
• Ability to work full-time (40 hours minimum)
• Demonstrates progressive proficiency with the utilization of available computer
• technology, including typing skills.
• 60 + WPM typing
• Demonstrated customer service, leadership, communication, interpersonal and
• problem-solving skills, required.

• 3 years of experience in physician front/back office
• Bilingual in Spanish
• Experience working with the adult population
• Experience working as telecommuter or call center setting.
• Experience working with Electronic Health Record (EHR)

Working Conditions

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working environment may be in an office setting, clinical or home office.

Physical Requirements

●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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
●While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.