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Enrollment Coordinator

Enrollment Coordinator

Job ID 
2017-1929
# of Openings 
1
Job Locations 
US-IA-Windsor Heights
Posted Date 
10/3/2017
Category 
PACE Pathways

More information about this job

Overview

Purpose of the Job:

The overall purpose of this job is to provide information and answer questions about Immanuel Pathway’s Program of All-inclusive Care for the Elderly (PACE) to potential participants and/or their family, friends, referral and community resources.  Supports and lives out Immanuel’s Mission and CHRIST Promises.

Responsibilities

Key Areas

Key Responsibilities and Duties of the Job

80% Enrollment Process

 

Provide information about the program of All-inclusive Care for the Elderly (PACE).

  • Takes incoming calls and provides information about the Immanuel Pathways Program.
  • Speaks to potential PACE participants in their home, hospitals or other settings as part of the communication process.
  • Provides tours of the Immanuel Pathways Center.

Guides and assists potential participants through the enrollment process

  • Answers all medical and financial questions potential participants/ family have in regards to the Pathways PACE program.
  • Assists potential participants applying for Medicaid, if applicable.
  • Assists potential participants/family with primary and secondary payer source information to help make an informed decision.
  • Inform potential participants/family of in home and in center assessment process.
  • Keep potential participants/family updated on enrollment process.
  • Inform potential participants/family of qualification or non-qualification for PACE.

Present and explain to potential participants/family the PACE enrollment contract.

  • Schedules appointment times to meet with potential participants/family to review and sign enrollment agreement.

Provide Immanuel Pathway staff information and updates throughout enrollment process.

  • Coordinate in home and occupational therapy schedules for in home assessments.
  • Coordinate interdisciplinary team’s schedules for in center assessments.
  • Coordinate with transportation department, transportation pick and departure times for in center assessments.
  • Collect Level of Care Information from providers.
  • Inform interdisciplinary team of any special requests, concerns and/or information that will help with the assessment process.

Process and finalize required enrollment paperwork with CMS & Medicaid.

  • Submit “Intent to Apply” paperwork.
  • Check Medicare eligibility through MARX system.
  • Check Medicaid eligibility through the state system.
  • Submit Medicaid application to state if applicable.
  • Process and finalize required enrollment paperwork with the state and the Center for Medicare and Medicaid Services (CMS).
  • Register the signed enrollment agreements with the state.

Guide new participants through their initial orientation process.

  • Deliver PACE cards to new PACE participants.
  • Inform participants of their transportation schedule.
  • Follow up 2 days in advance with new participants to remind them of their start date.
  • Meet and greet new participants on their first day and check in with them throughout their first day.
  • Follow up weekly with new participants during their first month of membership to answer questions and be of assistance

5%

Referral to Resources

  • Provides alternative community resources to applicants who do not qualify for Immanuel Pathways (PACE).
  • Provides information and referrals as appropriate to community advocates or elder law attorney.

5%

Reporting

  • Collects data and prepares reports in accordance with Centers for Medicare and Medicaid Services (CMS) requirements or Immanuel Pathways requirements.

5% Compliance

  • Completes Security Review process for systems access in the respective state in which he/she is employed.
  • Maintains up to date knowledge of system/process and communicates to IDT as applicable.

5%  

Other

  • Participates and supports the Quality Improvement Initiatives.
  • Practices Universal Precautions and follows appropriate infection control as applicable.
  • Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
  • Performs other duties as assigned or requested.

Qualifications

Education-

  • Bachelors Degree is required preferably in Business or a Health and Human Services field.

Experience-

  • Two (2) years experience in marketing, with more emphasis on sales, and/or admissions role for a health care provider, or in an information and referral resource role or related role.
  • One (1) year of experience working with a frail or elderly population required.
  • Equivalent years of education may substitute for experience requirement.

Other Requirements-

  • Must have medical clearance for communicable diseases and up-to-date immunizations before joining Immanuel Pathways.
  • Must have a valid driver’s license, proof of insurance and have reliable means of transportation for driving up to 100 miles daily.
  • Must have a professional appearance.
  • Basic Life Support (BLS) Skills i.e. Health Care Level Cardiopulmonary resuscitation (CPR); Automated External Defibrillator (AED); First Aide (FA).

KSA- Knowledge Skills and Abilities-

  • Knowledge of physical, psychosocial, behavioral, and family needs of elderly.
  • Knowledge of the PACE philosophy and eligibility/denial criteria.
  • Knowledge of the service area and its community’s health and social service delivery systems (country).
  • Knowledge of the Medicare and Medicaid system.
  • Skilled in written and oral communication.
  • Skilled in basic/intermediate computer knowledge and Microsoft applications.
  • Ability to chart via Electronic Health Records
  • Proven experience and basic computer proficiency (internet, email, Microsoft Office)
  • Ability to effectively speak with perspective participant/family and present PACE philosophy and model and to prospective participants.

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