Enrollment Specialist

Public Partnerships; United States; On-site; USD 42,000 - 56,000; Full time

Job summary

Public Partnerships LLC in Florida seeks an Enrollment Specialist to be the primary contact for participants, authorized representatives, and providers throughout the enrollment process for self-directed services. The role emphasizes timely documentation, barrier resolution, and education on employer responsibilities and program rules.

Located in Florida with commutable access to Tampa Bay or Jacksonville, the role focuses on ensuring enrollment accuracy, coordination with stakeholders, and

Qualifications

• Enrollment experience preferred
• Strong communication and organizational skills
• Ability to educate participants on program rules and responsibilities

Responsibilities

• Enrollment & Service Coordination: follows up on referrals, completes enrollment documentation, resolves barriers, coordinates with case management to minimize cycle times.
• Participant Assessment & Support: assesses ability to communicate, participate, and self-direct; documents limitations and needed accommodations.
• Participant Education & Training: educates on interacting with Public Partnerships as fiscal intermediary, payroll processing, and program rules.

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business.

Job Description

Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and "self" direct their own long-term home care. Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com ).

Must reside in the state of Florida. Seeking individuals who reside in a commutable distance to Tampa Bay or Jacksonville, Florida.

Job Summary:

The Enrollment Specialist serves as the primary point of contact for participants, authorized representatives, and providers throughout the enrollment process for self-directed services programs. This role facilitates timely and accurate enrollment by coordinating required documentation, resolving enrollment barriers, collaborating with internal and external stakeholders, and ensuring compliance with program requirements. The Enrollment Specialist provides person-centered education and training on employer responsibilities, program rules, and financial management systems while assessing participants' ability to successfully self-direct services. Additionally, the role supports participant health, safety, and program integrity through ongoing documentation, monitoring, and reporting of suspected fraud, abuse, neglect, or exploitation in accordance with established policies and procedures.

Key Responsibilities:

Enrollment & Service Coordination

• Follows up on referrals for participant-directed services.
• Supports the individual/employer and their provider(s) in completing all necessary documentation required for enrollment.
• Identifies potential barriers and bottlenecks to timely enrollment and takes necessary steps to triage and resolve.
• Engages the entity providing case management or service/support coordination services to the individual to ensure timely coordination of service approval and authorization.
• Collaborates with internal and external stakeholders as necessary to ensure enrollment cycle times are minimized and the first payment to the provider(s) is received on time and in full.
• Performs all functions necessary to support the enrollment of the individual/employer/authorized representative and provider(s) including processing enrollment documentation, obtaining employer identification numbers, completing criminal background checks, and other enrollment related requirements.
• Communicates referral corrections, as needed, to entities providing case management or service/support coordination services to the individual.
• Updates enrollment status of individual participants and providers through portal and records in systems. In collaboration with the enrollment supervisor, supports workforce management delegation to ensure service levels are met.

Participant Assessment & Support

• Assesses Participant's and/or authorized representative's ability to communicate, acquire new information, act as an employer and otherwise successfully participate in a self-directed employer and/or budget authority service model.
• Communicates with Participant or authorized representative about additional supports or accommodations necessary for successful program participation.
• Performs in-home visits of Individuals as applicable by program.
• Documents and reports evidence of individual's inability to self-direct appropriately.

Participant Education & Training

• Educates the individual/employer on interacting with Public Partnerships as their fiscal intermediary, with emphasis on their authorized services, timesheet completion, enrolling subsequent providers and keys to successful self-direction.
• Provides person-centered, need-based program education and guidance to Participants and authorized representatives specific to individual choices, goals and desired outcomes.
• Explains and educates on Participant/authorized representative and provider roles and responsibilities for participation in self-directed services, including processing payroll, vendor payments, tax withholding and reporting.
• Provides direct, including train-the-trainer, instruction on how to navigate program rules, expectations and Financial Management Systems, including online enrollment, s