What are the responsibilities and job description for the Enrollment Specialist- Nashville TN Hybrid position at Lucent Health Solutions LLC?

Job Description

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

Transparent Communication : be open and clear in all interactions without withholding crucial information
Integrity : ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness : provide honest feedback and report any issues or challenges as they arise
Trustworthiness : build and maintain trust by consistently demonstrating reliable behavior

Ethical

Fair Decision Making : ensure all actions and decisions respect company policies and values

Accountability : own up to mistakes and take responsibility for rectifying them

Respect : treat colleagues, clients and partners with fairness and dignity

Confidentiality : safeguard sensitive information and avoid conflicts of interest

Hardworking

Consistency : meet or exceed deadlines, maintaining high productivity levels

Proactiveness : take initiative to tackle challenges without waiting to be asked

Willingness : voluntarily offer to assist in additional projects or tasks when needed

Adaptability : work efficiently under pressure or in changing environments

Summary

The Patient Enrollment Specialist works within the Narus Health Patient Support Center (PSC) in Nashville, Tennessee. The Enrollment Specialist, as part of a multidisciplinary care team, is responsible for determining patient eligibility for care, coordinating, calling, and tracking all new patient enrollments. This team member is responsible for proactively reaching out to prospective patients to explain the services that Narus Health provides, address any inquiries, documenting patient needs and scheduling initial calls with the Care Manager.

Responsibilities :

The Enrollment Specialist supports the community and call center-based care team by ensuring effective enrollment of patients into the Narus program.

Identify qualified patients through the review of records

Perform outbound calls to prospective patients to explain services, answer questions and obtain patient consent to enroll

Manage patient calls and confidential patient information

May perform escalation of routine and urgent patient calls

Receive and coordinate patient referrals

Coordinating patient appointments and preparing patient records

Entering patient data into the Narus Health software platform

Working with patients to validate insurance coverage, understand, explain and document insurance requirements

Qualifications

A minimum of 3 – 5 years of comparable work experience in a healthcare setting.

A high school diploma required or associate / bachelor’s degree in business or health sciences.

Prior telephonic patient engagement or care coordination experience preferred

Proficient on Microsoft Office programs and EMR / Care Management platforms, comfortable working in different software platforms

Demonstrated knowledge of legal and ethical issues related to confidentiality, including HIPAA and state specific privacy laws

An excellent communicator with the ability to explain the program offered in an informational, influential, concise, and personable manner

Ability to apply problem-solving techniques to the patient enrollment process

Articulate and compassionate with exceptional phone etiquette

Working knowledge of medical terminology is ideal

Demonstrated problem solving skills

Commitment to excellence and high standards

Excellent time management, flexibility, and organizational skills with the ability to work independently

Good communication, teamwork, and interpersonal skills with the ability to work with all levels of management.

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

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Enrollment Specialist- Nashville TN Hybrid

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