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Enrollment Specialist (Temporary)

KEPRO Elkridge ,MD
  • Posted: June 15, 2019
  • $28,710 to $41,085 Yearly
  • Full-Time

Enrollment Specialist (Temporary)inElkridge, MDatKEPRO
Date Posted:7/17/2019

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Job Snapshot
+ Employee Type:
Full-Time
+ Location:
Elkridge, MD
+ Job Type:
Human Resources
Education
+ Experience:
2 to 3 years
+ Date Posted:
7/17/2019




Job Description
KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. KEPRO is seeking resumes for a highly experienced professional.
Enrollment Specialist- Temporary Assignment (3-4 weeks)
Accountabilities
+ Initiates telephone calls to assigned plan recipients.
+ Informs recipient of available care management services specific to contracted plan. Engages recipient, encouraging participation using telephonic sales techniques to describe program benefits and respond to recipient questions and\\or concerns.
+ Upon enrolling recipient in the program, schedules an initial call with the Clinical Reviewer.
+ Communicates with Clinical Reviewers on schedule and recipient updates as appropriate.
+ Enters and/or updates demographic data and health information in system.
+ Assists with other customer service duties as assigned.
+ Performs data entry of faxes (Processes cases in non-clinical modification queue as needed); review submitted information for health care services that do not need medical necessity certification nor result in a non-certification decision.
+ Provides phone coverage per contract requirements and KEPRO business needs.
+ Responsible and accountable for quality service delivery; understanding and maintenance of applicable policies and procedures; and maintenance of minimum performance metrics both individually and at the team level.
+ Other duties as assigned.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.
Qualifications
+ HS Diploma or Equivalent required.
+ Medical terminology and/or transcription certification or coursework strongly preferred.
+ College degree in healthcare related field may be substituted for experience.
Knowledge, Skills, Abilities
+ Ability to handle multiple tasks and adjusts to changing priorities.
+ Strong telephone skills.
+ Ability to engender confidence and establish rapport quickly.
+ Skilled in working with others in team environment.
+ Must be proficient in MS Office applications.
+ Ability to communicate effectively (verbally and written) with persons of diverse backgrounds and educational levels.
Experience
+ 2 to 3 years managed care or insurance environment with experience in outbound customer service\\call center, enrollment, or sales.
+ 1 year with data entry and/or word processing experience.
Mental and 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 will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.
KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website atwww.KEPRO.comfor more information on the KEPRO Family of Companies.
EOE AA M/F/Vet/Disability
KEPROis an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.

KEPRO

Address

Elkridge, MD
21075 USA

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