- Required (R) Desired (D)The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.
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Outreach & Enrollment Coordinator
2 weeks ago
Welbehealth Careers San Jose, United States Permanent, Full timeAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting to the Marketing, Outreach, Enrollmen ...
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Outreach & Enrollment Coordinator
2 weeks ago
Welbehealth Careers San Jose, United StatesAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve.Reporting to the Marketing, Outreach, Enrollment, ...
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Outreach & Enrollment Coordinator
2 weeks ago
WelbeHealth San Jose, United StatesAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve.Reporting to the Marketing, Outreach, Enrollment, ...
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Outreach & Enrollment Coordinator
2 weeks ago
WelbeHealth San Jose, United StatesJob Description · Job Description · At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting ...
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Outreach & Enrollment Coordinator
1 week ago
Welbehealth Careers San Jose, CA, United States Full timeAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting to the Marketing, Outreach, Enrollmen ...
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Outreach & Enrollment Coordinator
4 weeks ago
Welbehealth Careers San Jose, CA, United States Full timeAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting to the Marketing, Outreach, Enrollmen ...
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Outreach & Enrollment Coordinator
3 weeks ago
WelbeHealth San Jose, United StatesAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting to the Marketing, Outreach, Enrollme ...
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Outreach & Enrollment Coordinator
3 weeks ago
WelbeHealth San Jose, United StatesAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Please read the following job description thor ...
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Outreach & Enrollment Coordinator
3 weeks ago
WelbeHealth San Jose, United StatesAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve. · Reporting to the Marketing, Outreach, Enrollmen ...
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Coordinator, Enrollment Services
2 weeks ago
Foothill De Anza Los Altos Hills, United States· Coordinator, Enrollment Services · HR EMPLOYMENT/CAREERS · Closing Date: 05/21/24 ** · **Any complete applications received after the review date will only be forwarded to the hiring committee at their request. · Salary Grade: C1-55 · Starting Salary: $6, per month) plus ...
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Family Community and Enrollment Coordinator
1 week ago
Envision Education Hayward, United StatesTHE POSITION · Envision Education seeks a Family Community and Enrollment Coordinator to organize and coordinate family partnerships and student enrollment outreach. · The Family Community and Enrollment Coordinator will create and implement systems to bring in parents and commun ...
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Family Community and Enrollment Coordinator
2 days ago
Envision Education Hayward, United StatesJob Description · Job DescriptionTHE POSITION · Envision Education seeks a Family Community and Enrollment Coordinator to organize and coordinate family partnerships and student enrollment outreach. · The Family Community and Enrollment Coordinator will create and implement syste ...
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Enrollment & Outreach Representative
3 weeks ago
On Lok San Jose, United StatesOn Lok PACE · We are a non-profit committed to our participants. · Dedicated to The Care of Elders: · PACE (Program of All-Inclusive Care for the Elderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it i ...
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School Secretary
1 week ago
Oak Grove School District San Jose, United States Part timeOak Grove School District has a total enrollment of over 8,800 students from grades PreK-8. There are 15 elementary schools and 3 intermediate schools, and a TK-8 Virtual Learning (VLA). Five out of nineteen schools receive Title I funds. The size of the school ranges from the hi ...
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Operations Coordinator, San Jose
3 weeks ago
KIPP Bay Area Public Schools San Jose, United StatesDescription · Position Summary The Operations Coordinator will play a critical role in maintaining the systems that support excellent teaching and learning. They will manage the front office and serve as the first point of contact for any students, families, staff, or visitors i ...
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Human Resources Coordinator
1 week ago
Milk Specialties Global Clara City, United States Full timeThe Human Resources Coordinator has the responsibility to help support and administer the Human Resources programs, policies and activities at the plant level for Clara City, MN and Hutchinson, MN locations. · Human Resources Coordinator Duties and Responsibilities: · Manage the ...
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Program Assistant- Itinerant/ Special Ed
6 days ago
Oak Grove School District San Jose, United StatesOak Grove School District has a total student enrollment of approximately 8,690 students from grades TK-8. There are 14 elementary schools and 3 intermediate schools, and a TK-8 Virtual Learning (VLA). Six out of seventeen schools receive Title I funds. The size of the school ran ...
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Intern - Tech Program Lead - STEM Summer Camp
3 weeks ago
Shooting Stars Foundation San Jose, United StatesJob Title: Intern - Tech Program Lead - STEM Summer Camp · Job Overview: · The TechBridge STEM Leader internship is a one-month opportunity for undergraduate college students to take on a leadership role in coordinating and facilitating the TechBridge Three-Week Summer Program. T ...
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Therapeutic Behavioral Services Intern
1 week ago
Stars Behavioral Health Group San Jose, United States Part timePartner with us in making a positive change · Join a community that's changing mental healthcare for the better. We have been certified as a Great Place to Work by our own employees for over 5 years running. Looking forward to your partnership in making a difference with us · J ...
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outreach
1 week ago
San Jose City College San Jose, United StatesPosition Description · POSITION SUMMARY · The Outreach/Recruitment Coordinator reports to the Director of Student Activities & Development at San Jose City College. The work schedule is 12 months per year; Monday – Friday; 8:00 a.m. to 5:00 p.m. · This position is represented by ...
Temp Enrollment Coordinator - San Jose, United States - Santa Clara Family Health Plan
Description
Temporary positionFLSA Status:
Non-ExemptDepartment: Operations
Reports To:
Manager, Enrollment & EligibilityGENERAL DESCRIPTION OF POSITIONThe Enrollment Coordinator I provides timely data analysis, data entry, tracking, validation, monitoring, reporting and supporting communications to maintain accurate enrollment and eligibility data for one or more lines of business in compliance with all applicable Medicare and Medi-Cal regulatory requirements, SCFHP policies and procedures, and SCFHP business requirements, to achieve Department performance objectives.
ESSENTIAL DUTIES AND RESPONSIBILITIESTo perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below.
Complete data entry for Medicare paper applications; complete workflow tasks for all Medicare enrollment and disenrollment requests (including for applications received via mail, the Medicare Online Enrollment Center, auto and facilitated web-based submission); complete any associated member reconciliation tasks, including outreach to members if information on application is incomplete; initiate all associated correspondence; complete all of the above accurately, in accordance with the Centers for Medicare and Medicaid Services (CMS) guidelines, and in compliance with any DHCS requirements.
In response to internal and external inquiries and information, and in support of initiatives, work collaboratively with others to analyze, verify and resolve beneficiary enrollment, disenrollment, eligibility, demographics, and primary care provider assignment changes and issues in an accurate, timely, respectful, professional and culturally competent manner; communication may be via inbound call, outbound call, in-person, fax, email, mail, or other appropriate communication channel.
Accurately document and code all contacts and follow-up actions for member, provider and other communications and activities in accordance with established guidelines.
Track, analyze, validate and process assigned daily, weekly, and monthly enrollment and membership eligibility, integrity, audit, reconciliation/validation, and error reports accurately and in a timely manner.
Identify, investigate, troubleshoot, and report eligibility and enrollment issues, errors and/or discrepancies.Provide input to required internal and external reporting, including dashboards.
Ensure process for delivering member materials to new and existing members is completed accurately and within the required timeframe.
Use operating instructions and tools needed to support department activities and to ensure compliance with all regulations.
Provide direct support for new member enrollment and for member retention via inbound and/or outbound calling, including outbound calls to verify Medicare enrollment and disenrollment.
Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training and coaching sessions.Identify issues and report relevant information to management.
Provide support for implementation/upgrade/improvements of internal systems that support department processes; includes but is not limited to providing input to requirements and reporting results and potential defects.
Perform other related duties as required or assigned.REQUIREMENTS
(R)Minimum one year of experience in jobs requiring interaction with members/patients/clients/customers, with preference for experience working in a health care setting.
(R)Able to efficiently alternate focus between telephone and non-telephone tasks to support Department operations as dictated by business needs. (R)Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations. (D)Work weekends and company holidays as needed based on business and regulatory requirements. (R)Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills.(D)Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications, such as Outlook, Word and Excel.
(R)Ability to use a keyboard with moderate speed and a high level of accuracy.(R)Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP members and providers over the telephone, in person or in writing.
(R)Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R)Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R)Ability to maintain confidentiality. (R)Ability to comply with all SCFHP policies and procedures. (R)Ability to perform the job safely with respect to others, to property, and to individual safety. (R)WORKING CONDITIONSGenerally, duties are primarily performed in an office environment while sitting or standing at a desk.Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications.
PHYSICAL REQUIREMENTSIncumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:Mobility Requirements:
regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R)
Lifting Requirements:
regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R)
Visual Requirements:
ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R)
Dexterity Requirements:
regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment; (R)
Hearing/Talking Requirements:
ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R)
Reasoning Requirements:
ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail.
(R)ENVIRONMENTAL CONDITIONSGeneral office conditions. May be exposed to moderate noise levels.#J-18808-Ljbffr
