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Job Summary

The Patient Enrollment Coordinator is responsible for improving Cano's enrollment growth objectives by discussing enrollment and eligibility options with members/non-members. The Patient Enrollment Coordinator is fluent with various payor sources (Medicare, HMO's, Medicaid, etc.) of primary care and physiotherapy services.

The Patient Enrollment Coordinator guides the patient/prospective patient through the insurance/cash pay process, explain payment plan options, and assists patient with membership enrollment or credit applications.

Essential Duties & Responsibilities

• Professionally represents Cano Health; provides centers tours.

• Is an expert at Cano's services and products. Identifies any prospects/member's needs, answers questions related to healthcare access and Cano service offerings, discusses cost of service (if needed) and facilitates enrollment into health plans or payment plans.

• Assists patients with credit application, if applicable.

• Collaborates and maintains a healthy relationship with health plan agents and brokers.

• Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management.

• Verifies insurance and benefit coverage on all of patient's insurance plans for each service being provided.

• Maintains lines of communication and follow up with current members to assure there is no loss of benefit coverage.

• Collaborates with Community Outreach associates on center and community activities events, as needed.

• Regularly generates and submits reports on new enrollment for insured/cash pay members.

• Delivers presentations, attends meetings, and distributes educational materials to members/potential members.

Additional Duties & Responsibilities

• Ability to remain positive, courteous, and professional.

• Maintain adequate supplies, equipment, and materials (informational material, promotional items).

• Self-motivated and may work with little (indirect) supervision to achieve goals and objectives.

• Communicate with fellow associates to identify areas of opportunity to enhance membership growth.

• Regularly generates and submits reports on new enrollment for insured/cash pay members.

• Additional duties may be assigned.

Supervisory Responsibilities

• No supervisory responsibilities.

Education & Experience

• Min. 3 years of related experience (e.g., marketing, business development, community engagement, healthcare industry).

• Demonstrated exceptional networking and negotiations skills.

• Demonstrated strong public speaking and presentations skills.

• Demonstrated ability to work in a fast-paced, team-oriented environment with little supervision.

• Must be highly detail-oriented, provide outstanding customer service, be an enthusiastic professional, and be able to build relationships with internal and external customers.

• Must be able to anticipate project needs, discern work priorities, and meet deadlines with little supervision, and be willing to work occasional evenings and weekends.

Education Requirements

Education Level

Discipline

Required

High School

Knowledge, Skills & Proficiencies

• Must be fluent in English and primary language of target population (ie., Spanish)

• Must be IT proficient working with electronic medical records (preferably eCW), health plan portals, and IT systems (Care Credit and MicroSoft products including Share Point, Excel, Outlook, Teams, etc.)

• Understanding of Medicaid and Medicare (including healthcare markets)

• Detail oriented to ensure accuracy of reports and data

• Sales and marketing experience, highly preferred

• Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus

Physical Requirements

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing

Travel Requirements

Amount of Expected Travel

Details

Yes

0-25%

Work will involve some driving/traveling to assigned clinics.

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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