Enrollment Specialist

Company Overview: At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Position Title: Enrollment Specialist, House Calls Department

Job Summary: The Enrollment Specialist for Healthcare House Calls plays a critical role in assisting patients with the enrollment process for enhanced house call services. This role is responsible for explaining the benefits of care management programs to patients, answering questions about their benefits, processing enrollment forms, and ensuring that patients receive the care they need at home. The specialist will coordinate with healthcare providers and patients’ families to ensure that all necessary documentation is completed accurately and efficiently for seamless service delivery.

Responsibilities:

Patient Enrollment and Registration:

· Guide patients through the enrollment process for house call services, ensuring that all required information is collected accurately.

· Assist patients in completing necessary paperwork for house call healthcare services, including consent forms, insurance details, and personal information.

· Input and maintain accurate patient data in the system (e.g., Electronic Health Records - EHR).

Patient Communication and Support:

· Encourage patients to enroll in programs that can improve their health outcomes.

· Act as the main point of contact for patients inquiring about enrollment and eligibility for house call services.

· Inform patients about their coverage options, benefits, and potential out-of-pocket costs for house call services.

· Provide clear instructions to patients regarding any necessary follow-up or documentation.

Collaboration with Healthcare Providers:

· Work closely with house call healthcare teams (nurses, doctors, and other medical professionals) to ensure accurate documentation of patient enrollment and insurance information.

· Ensure that all enrolled patients are properly scheduled for house calls in alignment with their care plans.

Compliance and Documentation:

· Ensure all documentation is compliant with healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and other federal/state healthcare policies.

· Maintain accurate and up-to-date records for all patients receiving house call services.

· Ensure proper processing of claims related to house call services.

Qualifications:

· Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

· Experience: Experience in healthcare administration, enrollment services, or customer service, or sales/outreach (preferably in a home health, house calls, or outpatient setting).

· Technical Skills: Familiarity with electronic health records (EHR) systems and healthcare software is a must. Proficiency in Microsoft Office and other office tools.

· Knowledge: Understanding of healthcare and health insurance terminology (including Medicare, Medicaid, and private insurance).

· Communication Skills: Excellent verbal and written communication skills to interact with patients, healthcare teams, and insurance providers.

· Attention to Detail: Strong attention to detail and accuracy in processing enrollment data and insurance information.

· Problem Solving: Ability to address patient concerns and resolve issues effectively.

· Customer Service: Strong customer service skills, particularly in assisting elderly or homebound patients.

Preferred Skills:

• Experience with home healthcare services or house calls.
• Knowledge of Medicare, Medicaid, and commercial insurance policies for home health services.
• Bilingual in Spanish speaking.

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Day shift

Work Location: Hybrid remote in Bronx, NY 10461

Salary : $18 - $20