Senior Enrollment Assistant at Visiting Nurse Service of New York d/b/a VNS Health

• Referral bonus opportunities     
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays   
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability    
• Employer-matched retirement saving funds   
• Personal and financial wellness programs    
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care     
• Generous tuition reimbursement for qualifying degrees   
• Opportunities for professional growth and career advancement    
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities    

What You Will Do

• Provides consumers education on VNS Health plans benefits and eligibility requirements. Reviews and confirms potential enrollees eligibility; collaborates with New York Medicaid Choice (NYMC) in scheduling New York Independent Assessor (NYIA) assessments, including follow up to obtain CFEEC scheduled dates and outcomes as needed.
• Offers assignment of Medicare assistance as needed.
• Responds to inquiries regarding pre-enrollment issues, eligibility and program information to ensure service satisfaction. Works with our internal and external customers to ensure referrals are processed and followed up in a timely manner.
• Participates in outreach to potential enrollees referred via our referral inbox and/or fax. Reviews their eligibility and transfers them to the appropriate program. Schedules the NYIA assessments follow up as needed to obtain NYIA scheduled assessment dates and outcomes as needed.
• Processes daily submissions received internally for enrollment to Maximus via the portal. Maintains member record system with new employee enrollment documents.
• Works collaboratively with various departments and vendors to ensure consumers are enrolled in a timely matter.
• Ensures Auto (State mandatory) enrolled members are uploaded to Share Point for vendor assignment.
• Prepares monthly enrollment report for new enrollees start of care authorizations and care manager assignment.
• Assists in the monitoring and updating of our Health Commerce System case list.
• Provides education on CDPAS process and requirements for members interested in receiving CDPAS services.
• Provides outreach to new enrollees and current members and their PCPs to obtain new or recertification MD Orders for continued CDPAS services.
• Maintains and documents actions taken in our CDPAS membership tracking database and upload completed CDPAS Acknowledgment forms and MD Orders.
• Receives and processes daily Care Management (CM) and Utilization Management (UM) Activities request for vendor assignment. Creates activities for follow up as needed.
• Schedules SCIC and assessment request received via Share Point for Select Health members.
• Conducts daily outreach to potential enrollees to confirm acceptance of hours offered and completion of 3-way transfers calls with the potential enrollee and NYMC prior to the deadline.
• Participates in special projects and performs other duties as assigned.

• Valid NYS driver’s license or NYS non-driver’s ID required

Education:

• Associate's Degree in health, human services, other related discipline or the equivalent work experience required

Work Experience:

• Minimum two years experience in customer service required
• Proficient interpersonal, organizational, strong attention to detail, analytical and writing skills required
• Knowledge of Medicaid eligibility requirements required
• Proficiency with personal computers, including MS Excel, Word and Outlook preferred
• Prior experience in Call Center setting preferred