Enrollment Specialist, PACE Program, Full-time

Hospice Savannah Inc; Savannah (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

PACE Georgia is seeking an Enrollment Specialist to guide prospective participants through the enrollment process, gathering demographic, medical, and insurance information to determine eligibility.

The role supports Medicaid applications, coordinates assessments, and ensures deadlines are met while promoting the program at community events and health fairs.

Qualifications

• Associate's degree required; Bachelor's degree in healthcare or human services preferred.
• 1 year of experience in case or care management, benefits administration, marketing, or sales experience in healthcare.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• 1 year of knowledge of Medicare, Medicaid and/or third party insurance.
• Strong organizational and customer service skills.
• Proficiency with MS Word, Excel, PowerPoint; familiarity with email/calendaring.
• Knowledge of CRM/EHR software systems; experience preferred.

Responsibilities

• Guide prospective participants through enrollment from inquiry to program entry.
• Gather demographic, medical, insurance, and financial information for eligibility.
• Coordinate assessments, documentation, and Medicaid application support.
• Meet deadlines and program requirements; communicate with Medicaid contacts.
• Represent PACE Georgia at community events to promote the program.
• Collaborate with Interdisciplinary Team to schedule care plans and facilitate communication.

Skills

Organizational skills

Customer service

Problem-solving

Multitasking

Communication

Time management

Detail-oriented

Education

Associate's degree

Bachelor's degree preferred

Tools

MS Office

CRM / EHR software

Job description

Job SummaryThe Enrollment Specialist serves as the initial point of contact for prospective PACE Georgia participants and their representatives, guiding them through the enrollment process from first inquiry through program entry. This role is responsible for gathering demographic, medical, insurance, and financial information to determine eligibility; coordinating assessments, documentation, and Medicaid application support; and ensuring all deadlines and program requirements are met. The Enrollment Specialist builds and maintains positive relationships with prospective participants, families, referral sources, and Medicaid contacts, while partnering closely with the Interdisciplinary Team to facilitate communication, scheduling, and care plan development. Additional responsibilities include representing PACE Georgia at community presentations, health fairs, and outreach events to promote the program as a vital community resource.Minimum QualificationsAssociate's degree in related field. Bachelor's degree in healthcare or human services field preferred.One year of experience in case or care management, benefits administration, marketing, or sales experience in a healthcare.Valid driver’s license, reliable transportation, and current automobile insurance required1yr of knowledge of Medicare, Medicaid and/or third party insurance. Competencies, Preferred Knowledge, Skills, and AbilitiesExcellent organizational skills.Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.Ability to perform frequent detailed tasks and provide immediate service with frequent interruptionsAbility to change and be flexible with work priorities.Strong problem-solving skills.Comprehensive to expert proficiency with Microsoft product suite (MS Word, Excel, Power Point).Basic knowledge and experience with email and calendaring system.Knowledge of CRM /EHR software systems necessary, experience preferred.Possesses a high degree of personal accountability, responsibility, and independent decision-making abilities with the skills to interpret programs, goals, objectives, policies, and procedures of the organization.Physical Demands and Work EnvironmentA significant portion of the work is performed in a professional office environment, where the employee uses standard office equipment such as computers, phones, and copiers, and remains seated for extended periods while gathering information, completing documentation, and tracking enrollment activity in various computer programs. The role also requires regular travel into the community, including visits to prospective participants' homes, assisted living and skilled nursing facilities, hospitals, and other care settings, as well as participation in community presentations, special events, health fairs, and trade shows. As a result, the employee will routinely move between indoor and outdoor environments, navigate unfamiliar locations, and adapt to a range of conditions that fall outside a controlled office setting.While performing the duties of this position, the employee is frequently required to sit, stand, walk, reach forward, and perform keyboard use or other repetitive motion, as well as pinching and other fine motor activities consistent with computer and documentation work. The employee is occasionally required to climb (e.g., stairs or ladders), push and pull, twist, bend, reach overhead, squat, kneel, or crawl, and may experience wrist position deviation. Driving and travel to participant homes, community settings, and outreach events are a regular part of this role.The employee must be able to lift up to 10 lbs. from floor to waist and up to 10 lbs. at waist level and above. Sensory requirements for this position include accurate near vision, accurate far vision, accurate color discrimination, accurate depth perception, and accurate hearing. Anticipated occupational exposure risks for this position include bloodborne pathogens, chemicals, airborne communicable disease, extreme temperatures, radiation, uneven surfaces or elevations, extreme noise levels, and dust or particulate matter.Position Type and Expected Hours of WorkThis is a full-time, non-exempt position working a 40 hour week, rotating days, evenings, or weekends, with occasional requests to work additional days/hours/holidays as needed.TravelMust have a reliable vehicle.Must be able to travel as required