• Supports the individual/employer and their providers in completing all necessary documentation required for enrollment
• Educates the individual/employer on the enrollment process
• Helps to oversee all operational aspects associated with the business portfolio
• Identifies potential barriers and bottlenecks to timely enrollment and takes necessary steps to triage and resolve.
• Develops and maintains action plans to ensure deadlines are met and to move the file toward prompt and appropriate resolution.
• Performs all functions necessary to support the enrollment of the individual/employer/authorized representative and providers
• Processes enrollment documentation, obtains employer identification numbers, completes criminal background checks
• Ensures consistent communication with the case management/support coordination function on service authorization.
• Comfort with working under pressure in a fast-paced environment
• Provide overall support to all functional teams

Skills: Documentation Management, Client Education, Operational Oversight, Problem Resolution, Action Planning, Service Coordination, Pressure Handling, Team Support

• Serve as the initial point of contact for the Division of Enrollment Management by responding to or redirecting all inquiries, walk-ins, phone calls, emails, and physical mail
• Provide excellent customer service – respond to students on time
• Manage enrollment office space including campus store, conference room, storage closets, and welcome area
• Assist co-workers with troubleshooting problems with office machines
• Take responsibility for calling for service.
• Assist with processing outgoing mailings
• Take specific responsibility for preparing acceptance packets within established timelines
• Order office supplies, including paper for copiers and printers and merchandise for sale in the store
• Package and ship requested recruitment-related materials for enrollment staff
• Facilitate other campus requests to use Admissions materials and equipment
• Assist the Enrollment team with various tasks and special projects.

Skills: Customer Service, Office Management, Problem Troubleshooting, Mail Processing, Acceptance Packet Preparation, Supply Ordering, Material Shipping, Project Assistance

• Maintain a log of Medicaid Pending participants and provide follow-up and reporting on Medicaid pending cases.
• Works on new enrollee Medicaid applications and pool trust enrollment.
• Track and supply facility with Medicaid approval discrepancies of NAMI amounts and pick-up dates until corrected by the county.
• Monitors Medicaid and Medicare status of each participant on an ongoing basis.
• Submit and deliver all required documentation to HRA (Human Resources Administration)
• Reconcile prospective members in Mediture from month to month.
• Reconcile members working with the D file and L file State reports.
• Review all response files from Maximus and follow workflows for each file.
• Correspond with Senior Planning services for member certifications.
• Responds to member inquiries via telephone and/or by mail.
• Answer phones for member inquiries.

Skills: Medicaid Case Management, Application Processing, Discrepancy Tracking, Status Monitoring, Documentation Submission, Data Reconciliation, Report Review, Member Communication

• Responsible for planning, managing, organizing, and administratively leading enrollments, from start to finish.
• Coordinate the timing and scheduling of multiple enrollments within an assigned territory and maintain a calendar of those enrollments.
• Responsible for adjusting the number of sales representatives needed to conduct and complete the enrollment as planned by adding or removing sales representatives from the enrollment
• Determine the number of days needed to complete the enrollment, troubleshoot any issues that may arise
• Monitor the performance of sales representatives during the enrollment, track the availability of sales representatives, and manage enrollment setup and systems used in the enrollment.
• Work with the local manager and sales representatives assigned to the enrollment to ensure quality control, cost containment, consistency, Customer satisfaction, and an overall positive enrollment for the Customers and production results for the Company.
• Maintain and/or establish a working relationship with account decision-makers and will attend account meetings associated with the enrollment.
• To meet the needs of the Customer, change or alter enrollment plans established by the acquiring sales Colleague.
• Based on evolving or changing dynamics of the agreed-upon enrollment plans, recommend adding products or services to the enrollment or suggest alternate enrollment platforms.
• Responsible for the investigation and resolution of Customer complaints associated with the enrollment.
• Follow up with the Customer to understand their perspective, request a written statement from the sales representatives or managers involved, and interview and investigate the circumstances associated with the Customer complaint.

Skills: Enrollment Planning, Scheduling Coordination, Sales Representative Management, Troubleshooting, Performance Monitoring, Quality Control, Customer Relationship Management, Complaint Resolution

• Continued communication with Site Supervisors and Managed Care plans for follow-up on licensure, applications, physician status changes (effective dates/terminations), demographic changes, etc.
• Maintain positive and professional relationships with all providers, field questions, and collect data from supervisors, managers, directors, and outside vendors, Interact on a project/consistent basis with various departments.
• Stays abreast of provider recruitment by reviewing weekly recruitment reports, and obtaining application fees in advance, in anticipation of acceptance of offers.
• Maintain spreadsheet on current physician CAQH user and passwords, NPI numbers, State, CS, DEA numbers and expiration dates, and effective dates for each managed care company, Medicare, and Medicaid.
• Maintain a credentialing portion of the new provider checklist on the shared drive.
• Audit of Managed Care Companies' websites to ensure that Riverside Medical Groups' physicians are listed accurately.
• Assist with all aspects of the provider onboarding process, including assistance with visas, licensure, hospital credentialing, and payor enrollment.
• Obtain, maintain, and audit new and current confidential provider files and information (CAQH, State License, Controlled Substance, DEA, CLIA, Malpractice Certificate, CV, State Application, Board Certificates, Diplomas, and other related documents) related to credentialing in a shared location.
• Maintain renewal of physician malpractice insurance.
• Assist CMO, VP, Regional Directors, Providers, Regional Managers, and Site Supervisors.
• Understands financials and works with CBO to track charges held due to payor enrollment status.
• Works closely with physician recruiter, physician services, corporate billing, informatics manager, regional directors, regional managers, site supervisors, and providers to ensure that provider credentialing of managed care companies, Medicaid, Medicare, and CAQH is complete before the provider start date.
• Works closely with RMC, IMH, and PSMH credentialing departments, if applicable, to ensure that the provider is credentialed.

Skills: Provider Communication, Credentialing Management, Data Collection, Recruitment Tracking, Spreadsheet Maintenance, Onboarding Assistance, Document Auditing, Financial Tracking

• Experience working in an office
• Previous customer service experience
• Home Care Agency experience.
• Strong written verbal and communication skills, preferably bilingual
• The ability to operate the multi-line phone system.
• Basic computer knowledge - Microsoft Office (word, excel, etc.)
• Strong organizational skills and the ability to multitask.
• Excellent filing skills in hard copy and electronic file systems.
• Experience working with the HHA system.
• Team player with a positive attitude, and the ability to work independently.

Qualifications: BA in Business Administration with 3 years of Experience

• Willingness to participate in the recruitment of new students to Denver Seminary.
• Willingness to speak on behalf of the seminary to prospective students and provide a hospitable environment for new and continuing students.
• Ability to relate charitably and hospitably with diverse audiences and viewpoints.
• Desire to take ownership of the role to fulfill the job responsibilities with excellence.
• Desire to improve the efficiency of the enrollment coordinator role as well as general office policies and procedures.
• Ability to handle ongoing interruptions while meeting project timelines and goals.
• Desire to graciously screen visitors and direct them to the information they need.
• Attention to detail and a high standard of personal organization.
• Passion for managing a revolving door of visitors and requests.
• Willing to work with varying levels of supervision depending on the task.

Qualifications: BA in Communication Studies with 2 years of Experience

• Equivalent combination of education and experience in a related field
• Great organizational and time management skills
• Experience using search engines (internet) for research projects
• Experience using a student information system and/or other type of database
• Strong written and verbal communication skills
• Proficiency in MS Excel, MSWord, and Outlook
• Strong administrative and interpersonal skills.
• Experience assisting in report management
• Strong data entry skills
• Willingness to ensure the front office is opened on time each day.

Qualifications: BA in Social Work with 1 year of experience

• Experience in a provider/payor enrollment position
• Knowledge of third-party and insurance company operating procedures, regulations, billing requirements, and government reimbursement programs.
• Working knowledge of payor credentialing rules and regulations.
• Experience working with CAQH.
• Experience with Medicare and Medicaid provider enrollment applications and processes.
• Demonstrated knowledge of how physician payor enrollment affects the revenue cycle.
• Demonstrated success and skill in the management of projects and meeting deadlines.
• Excellent communication and diplomacy skills, demonstrate the ability to work in a team environment and be able to effectively manage multiple work processes simultaneously.
• Must have proven organizational skills
• Possess the ability to effectively prioritize and present information publicly and communicate in writing, concisely, thoroughly, and accurately.
• Solid PC skills, specifically with Microsoft Word and Excel.

Qualifications: BA in Marketing with 4 years of Experience

• Relevant work experience in higher education
• Specific experience working within an Admissions Office
• Experience creating and maintaining records within a large database system (Ellucian Banner SIS).
• Experience managing a higher education CRM
• Proficiency in Microsoft Suite (Word, Excel, PowerPoint, and Outlook)
• Proficiency in the use of cloud-based applications (Microsoft SharePoint, Teams, OneDrive, Zoom)
• Ability to work independently to achieve both Departmental and College goals.
• Ability to perform complex data entry functions both swiftly and accurately.
• Ability to perform in-depth research and analysis to problem-solve complex data/system issues.
• Ability to successfully engage with the public, students, faculty, and staff positively and professionally within a fast-paced and high-volume work environment.

Qualifications: BA in Educational Leadership with 3 years of Experience