Company: Elderwood Health Plan
Posted on: September 12, 2021
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Elderwood Health Plan, a managed medicaid provider plan, is
currently seeking an Enrollment Coordinator to join our
primary purpose of the Enrollment Coordinator is to provide
assistance to potential members and facilitate plan membership. The
Enrollment Coordinator will also monitor applications submitted to
the Local Departments of Social Services (LDSS) and Maximus, track
progress and report on any challenges. The Enrollment Coordinator
will screen new candidates and identify eligible potentials related
to both long-term care needs and Medicaid coverage for enrollment.
This includes but is not limited to providing potential members and
their families with education regarding the MLTC model of
- Answer product
and/or service questions.
- Complete all
necessary paperwork, documentation, and follow-up as required (i.e.
enrollment application, lead reports, outreach logs, scheduling and
other administrative work).
- Establish contact,
assess individual's needs and concerns, establish eligibility,
provide overview of organizational mission, effectively and clearly
present benefits of products in accordance with all Governmental
- Conduct individual
client screening to assess for Medicaid funded Long Term Care
eligibility, follow-up with State Brokers to ensure proper handling
of the Medicaid MLTC application process, and facilitate Conflict
Free Enrollment Center appointments for evaluations for MLTC
- Assist with the
screening of candidates toward identification of qualified,
eligible potentials related to both long-term care needs and
Medicaid coverage for enrollment
- Provide potential
members and their families with education regarding the MLTC model
- Help process calls
from interested parties for potential enrollees.
pre-enrollment screening form for all potential
- Work with EMR and
State Electronic Systems for new enrollment management
- Assist Social Work
Care Manager with enrollment responsibilities
- Educate potential
enrollees on the plan benefits and provider network.
- Tracks all
enrollment and disenrollment information and communicates with EHP
- Ensures that all
enrollment and disenrollment activities are documented accurately
in the member electronic health record.
- Communicates with
RN Care Managers and outside vendors regarding scheduling of
initial UAS assessment.
- Submission of all
potential enrollments/disenrollments to the New York State broker
- Other assigned
duties as necessary
- Associates degree
required, Bachelors preferred
- Valid NYS Driver’s
- Bilingual fluency
in Spanish, preferred
- Must be in good
standing with the Medicare and Medicaid programs
- Proficiency in
Microsoft Office: Excel, Word, Access; Internet navigation,
- Ability to solve
diverse problems that require interpretation of administrative
and/or technical issues.
- HIPAA Privacy
Elderwood expects all current and new
employees to be vaccinated against COVID-19. If hired, you will be
required to provide proof of vaccination. Employees may
request a medical exemption from vaccination.
Employee Perks!: 401K Retirement Plan with Company Match, Close to
thruway entrances/exits, Conveniently located on a bus route, Free
On-Site Parking, Friendly and supportive staff, Generous PTO &
holiday package, Life Insurance, Medical, Dental, and Vision
insurance, Relaxing employee lounge with free iced/hot coffee,
Strong leadership, Substantial employee referral program EOE
Statement: WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and
employees are considered for positions and are evaluated without
regard to mental or physical disability, race, color, religion,
gender, national origin, age, genetic information, military or
veteran status, sexual orientation, marital status or any other
protected Federal, State/Province or Local status unrelated to the
performance of the work involved.
Keywords: Elderwood Health Plan, Tonawanda , Enrollment Coordinator, Other , Tonawanda, New York
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