PACE Enrollment Specialist

Job Summary

The PACE Enrollment Specialist will play a crucial role in guiding potential participants through the enrollment process and ensuring they receive the necessary information and support to make informed decisions about their healthcare.

Responsibilities

Enrollment Guidance : Assist potential participants in understanding the PACE program, its benefits, eligibility criteria, and enrollment process.

Application Assistance : Provide support in completing enrollment applications accurately and efficiently, ensuring all required documentation is included.

Documentation Management : Maintain accurate records of enrollment applications, ensuring compliance with regulatory requirements and internal policies.

Communication : Serve as a primary point of contact for inquiries related to PACE enrollment, responding promptly and courteously to all inquiries via phone, email, or in-person meetings.

Education and Outreach : Conduct outreach activities to raise awareness about the PACE program in the community and collaborate with local organizations to reach potential participants.

Collaboration : Work closely with interdisciplinary team members, including healthcare professionals, social workers, and administrative staff, to facilitate a seamless enrollment process for participants.

Follow-Up : Conduct follow-up communication with potential participants to address any questions or concerns, and provide ongoing support throughout the enrollment process.

Compliance : Ensure adherence to all relevant regulations, including HIPAA (Health Insurance Portability and Accountability Act) and PACE program requirements.

Education & Training

Bachelor's degree in social work, healthcare administration, public health, or a related field preferred.

Previous experience in healthcare enrollment, preferably in a PACE program or similar setting.

Strong communication skills, both verbal and written, with the ability to explain complex information in a clear and concise manner.

Excellent organizational skills and attention to detail, with the ability to manage multiple tasks simultaneously.

Empathy and sensitivity when interacting with elderly individuals and their families.

Proficiency in Microsoft Office Suite and experience with electronic health record systems preferred.

Ability to work independently as well as part of a team in a fast-paced environment.

Skills & Abilities

Customer Service : Ability to provide exceptional customer service to potential participants, demonstrating patience, empathy, and active listening skills.

Interpersonal Communication : Strong interpersonal skills with the ability to build rapport and establish trust with individuals from diverse backgrounds, including elderly individuals and their families.

Problem-Solving : Proficiency in identifying and resolving enrollment-related issues, with a proactive approach to finding solutions and addressing concerns.

Cultural Competence : Sensitivity to cultural differences and the ability to effectively communicate with individuals whose primary language may not be English, utilizing interpreters or other resources as needed.

Time Management : Excellent time management skills with the ability to prioritize tasks effectively, meet deadlines, and maintain attention to detail in a fast-paced environment.

Team Collaboration : Ability to collaborate effectively with interdisciplinary team members, including healthcare professionals, social workers, and administrative staff, to ensure a coordinated approach to enrollment and participant care.

Documentation Management : Strong organizational skills and attention to detail in maintaining accurate records and documentation, ensuring compliance with regulatory requirements and internal policies.

Technical Proficiency : Proficiency in using computer software and electronic health record systems to manage enrollment documentation and communicate with participants.

Adaptability : Flexibility and adaptability to navigate changes in processes or procedures, as well as the ability to handle unexpected challenges with resilience and professionalism.

Education and Outreach : Experience or willingness to engage in education and outreach activities to raise awareness about the PACE program in the community and promote enrollment opportunities.

Ethical Conduct : Commitment to upholding ethical standards and maintaining confidentiality in handling sensitive participant information, in accordance with HIPAA regulations and organizational policies.

Conflict Resolution : Ability to navigate and resolve conflicts or disagreements diplomatically, fostering positive relationships with participants and stakeholders.

Working Conditions

The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Primarily work indoors.

Usually have their own office or a shared office space Are exposed daily to participant’s who have diseases or infections.

Wear protective clothing such as gown, masks and gloves, as needed Work very close to others, especially when examining participants While performing the duties of this job, the employee is frequently required to walk, sit, and / or stand The employee must occasionally lift and / or move up to 25 pounds.