The Enrollment Member Service Representative is responsible for processing initial referrals and reviewing patient information referred to Nascentia Options, LLC. Coordination and collaboration with Enrollment RN Specialists and external agencies. Excellence in customer service.

Performance Standards and Responsibilities:

• Provides general program information to callers who can be prospective enrollees, families, caregivers, community liaisons, and professionals within the community.
• Collects demographic information and complete Intake Inquiry form.
• Creates referral profile in electronic medical record/database.
• Creates electronic member chart with enrollment documents. Scan all appropriate enrollment material to the chart/database
• Obtain necessary information from primary care physicians.
• Responsible for processing all required enrollment files and information to Maximus.
• Communicate required information to appropriate county department of social services.
• Create welcome letters, member ID cards and coordinate mailing to members.
• Responsible for tracking necessary member information to be sent to various agencies and departments.
• Demonstrate effective interpersonal skills while demonstrating critical thinking and common sense resolution.
• Meet routine deadlines and work schedules as well as timely and accurate completion of work.
• All other duties as assigned

Requirements:

• High School Diploma or equivalent required. College degree preferred.
• Minimum of one year customer service experience required, preferably in a health care setting.
• Previous experience in Enrollment, Claims Management, or Member Services preferred.
• Excellent oral, verbal, and written communication skills
• Exceptional customer service skills required.
• Ability to organize and prioritize daily.
• Accuracy and attention to details and follow through.
• Ability to handle large volume of calls. Must be congenial on the phone.
• PC skills including Microsoft Office and database management required.
• Bilingual skills preferred.

Physical requirements:

• Speech, visual, and hearing ability sufficient to express and comprehend written and verbal communication
• Ability to sit or stand 90 percent of the day
• Bloodborne Pathogens Exposure Category III – Employee who rarely has contact with blood and body fluids.

Compensation & Benefits:

Competitive Salary [This position is an H05 non-exempt position with a min-max rate of: $18.05-$22.57/hour] with:

• 401K with generous Employer match
• Medical, Dental, Vision plans
• Partially funded HSA
• Short/Long term Disability
• Paid Time Off, Holidays and Extended Sick Leave
• Short/Long term Disability
• Employer Recognition Platform
• Exceptional work/life balance
• Employee Assistance Program (EAP)
• Much More!

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About Nascentia Health

Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

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Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent on negative results of a new hire drug screen