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Enrollment Specialist
Enrollment Specialist-January 2024
Pittsfield
Jan 25, 2026
About Enrollment Specialist

  Receives enrollee referrals, electronically and telephonically fromMassHealth, ACOs, MCOs, and community providers - Reviews EHR portalthroughout the day and develops a revolving call schedule to ensure thatenrollees are assigned a Care Coordinator within five business days -Verifies eligibility for CP services with MassHealth or the applicableACA - Applies decision tree to assign enrollees to appropriate CPtreatment teams - Initiates recruitment contact to enrollees, either byphone calls or conducts outreach visits to enrollees? homes or communitysettings - Utilizes multiple vehicles in order to obtain updated contactinformation for enrollee - Introduces enrollee to the ICP program -Assigns enrollees using established protocols and criteria - Responds toenrollee questions and concerns in a timely manner, provides enrolleehandbook and has enrollee review, understand and sign participation formand any other Community Partner program information - Verifiesdemographic and insurance information of enrollees - Establisheselectronic health record for enrollees - Schedules initial visit forCare Coordinator - Facilitates communication between enrollee and careteam members Expectations: Outreaching to various communities -Connecting with different agencies to assist with enrollment - Signingup enrollee?s on our assignment list - Knowledge of ICP and being ableto talk about it. - Ability to work with people from differentbackgrounds. Equal Opportunity Employer/Protected Veterans/Individualswith Disabilities The contractor will not discharge or in any othermanner discriminate against employees or applicants because they haveinquired about, discussed, or disclosed their own pay or the pay ofanother employee or applicant. However, employees who have access to thecompensation information of other employees or applicants as a part oftheir essential job functions cannot disclose the pay of other employeesor applicants to individuals who do not otherwise have access tocompensation information, unless the disclosure is (a) in response to aformal complaint or charge, (b) in furtherance of an investigation,proceeding, hearing, or action, including an investigation conducted bythe employer, or (c) consistent with the contractor?s legal duty tofurnish information. 41 CFR 60-1.35(c)

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