Patient Enrollment Specialist (W-2 Fully Remote)
Patient Enrollment Specialist (W-2 Fully Remote)
Job Title: Patient Enrollment Specialist (W-2 Fully Remote)
Overview:
The Patient Enrollment Specialist is a critical, fully remote role on the Care Coordination team that is responsible for the intake process of new patients and data into the medical record system. Care coordination services are provided to our patients once a successful consent is received by this Specialist. The role leads the clinical teams’ original outbound calls to eligible patients to obtain verbal consent for services to be provided, as well as other duties as assigned. Come join a growing team providing great services to patients. We are making a difference in healthcare, and our success will start with you
Reports To:
Director of Clinical Operations
Department:
Clinical Operations
Job Description:
Data entry
- Collect, organize & capture patient data into Shifox/Alopex platform for eligible patients
- Verify patient data for accuracy and completeness in order to progress patient to official onboarding
- Transfer accurate and complete information from paper or digital source to Shifox/Alopex platform
- Track and oversee onboarding documentation workflows to ensure no delays in patient outreach
- Search for and investigate pertinent onboarding patient information contained in files and medical records supplied by the client
- Input text-based and numerical information from source documents with accuracy and completeness
- Review intake paperwork for deficiencies or errors
- Verify intake paperwork information by comparing it to source documents
Consent calling
- Conduct a detailed review of EMR records to identify patients who could benefit from care
- Conduct the initial patient outreach to obtain verbal or written consent for patients
- Conduct follow-up calls as necessary to confirm consent or provide additional information
- Review, identify & document referring providers and conduct outreach, educate Providers and patients about Alopex services available to patients
- Collaborate with Alopex sales team in providing opportunities for Alopex to engage with new customers based on their Provider office outreach
- Documentation of all consents, patient interactions and any activities associated with patient onboarding per Alopex policy
- Collaborate daily with the RN Supervisors, Care Plan, and Data Entry teams on patient
care efforts including monitoring of EHR and hospital admissions thru company or
customer HIE (Health Information Exchange) portals or other identified alert systems.
- Participate in assigning patients to Care Coordinators with approval from RN supervisors per Alopex policy and Provider guidelines
- Monitoring and modifying patient status during initial 60 days of enrollment/reactivation
in Alopex programs to align with company standard operating procedures
- Facilitate hand-off communication between patients and their assigned Care
Coordinators
- Collaborate with Care Coordinators on scheduling & completing monthly care calls
- Provide any additional assistance to consented patients as needed and per Alopex
Policy
- Adhere to all policies & procedure as outlined by Medicare and Shifox/Alopex
- Develops and maintains distribution lists for various communications
- Consults with clinic leadership about any system problems
- Perform other duties as assigned
Qualifications and Skills Required:
- Possess a minimum of two (2) years’ experience providing customer services, healthcare setting preferred
- Proficiency in working with software programs and electronic medical records
- Adaptability to new technology – with the ability to self-start, solution, and problem solve learning technology
- Excellent time management skills
- Possesses strong verbal and written communication skills with meticulous detail to documentation
- Establish and maintain professional communication and relationship with client point of contact
- Dependable, reliable, and professional, focused on achieving goals
- Well versed in HIPAA privacy and security requirements and respects and commits to maintaining confidentiality of protected health and sensitive information for all patients
- Commitment to adherence of the highest standards of personal and professional conduct
- Displays a calm demeanor while working under pressure
- Has a strong sense of ethics and dedication to working with the highest level of personal and professional integrity
- Is patient-focused with a passion for helping others
- Ability to actively listen and communicate with compassion and empathy
- Is a natural educator who is adept at communicating with prospective patients on Alopex programs
- English proficiency in written and verbal communications (Required)
- Spanish proficiency in written and verbal communications (preferred)
Education Required:
- High School Diploma
- Bilingual: Certificate of Competency in healthcare literacy (preferred)
Work Location, Shift & Schedule
This position is remote (please see remote requirements below). Shifox/Alopex employees work Monday-Friday 8:00am-5:00pm or according to the business hours of client practices. If working part-time, a mutually agreeable schedule will be determined based on the client’s practices needs.
Remote Position Requirements:
- Reliable and stable Internet – all programs used by Care Coordinators are internet based
- A quiet and professional work environment suitable for speaking with patients about sensitive information and Protected Health Information (PHI), free of distractions
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