Enrollment and Matching Specialist
New
P
Pomelo CareHealthcare
Anywhere in the continental USFull-Time
Salary45,000 - 55,000 USD per year
Apply NowOpens the employer's application page
Job Details
- Required Skills
- Customer serviceOrganizational skillsTime ManagementDocumentation
Requirements
- Excellent customer service and communication skills.
- Experience working with various healthcare referral systems.
- Are internet-connected, able to work remotely.
- Passionate about changing the current landscape of healthcare.
- Strong organizational, documentation, and time-management skills.
- Ability to work independently and as part of a team.
Responsibilities
- Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements.
- Document all incoming referrals and interactions in systems of record with timely and accurate updates.
- Match clients with existing doulas in the Pomelo Care doula network.
- Coordinate with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals.
- Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties.
- Manage inbound calls from potential clients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs.
- Achieve member enrollment and doula matching goals as driven by company KPIs.
- Maintain a high quality level for documentation and in interactions with clients and doulas.
- Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals.
- Participate in training and development opportunities to stay current on healthcare trends and regulations.
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