Enrollment Sales Specialist (House Calls)

The Role

The Enrollment Sales Specialist for Healthcare House Calls plays a critical role in assisting patients with the enrollment process for enhanced house call services. This role is responsible for explaining the benefits of care management programs to patients, answering questions about their benefits, processing enrollment forms, and ensuring that patients receive the care they need at home. The specialist will coordinate with healthcare providers and patients’ families to ensure that all necessary documentation is completed accurately and efficiently for seamless service delivery.

Responsibilities

• Patient Enrollment
• Guide patients through the enrollment process for house call services, ensuring that all required information is collected accurately.
• Absorb necessary paperwork for house call healthcare services, including consent forms, insurance details, and personal information.
• Input and maintain accurate patient data in the system (e.g., Electronic Health Records - EHR).
• Patient Communication and Support
• Encourage patients to enroll in programs that can improve their health outcomes.
• Act as the main point of contact for patients inquiring about enrollment and eligibility for house call services.
• Inform patients about their coverage options, benefits, and potential out-of-pocket costs for house call services.
• Provide clear instructions to patients regarding any necessary follow-up or documentation.
• Collaboration with Healthcare Providers
• Work closely with house call healthcare teams (nurses, doctors, and other medical professionals) to ensure accurate documentation of patient enrollment and insurance information.
• Ensure that all enrolled patients are properly scheduled for house calls in alignment with their care plans.
• Compliance and Documentation
• Ensure all documentation is compliant with healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and other federal/state healthcare policies.
• Maintain accurate and up-to-date records for all patients receiving house call services.
• Ensure proper processing of claims related to house call services.

Requirements

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• Experience in healthcare administration, enrollment services, or customer service, or sales/outreach (preferably in a home health, house calls, or outpatient setting).
• Familiarity with electronic health records (EHR) systems and healthcare software is a must.
• Proficiency in Microsoft Office and other office tools.
• Understanding of healthcare and health insurance terminology (including Medicare, Medicaid, and private insurance).
• Excellent verbal and written communication skills to interact with patients, healthcare teams, and insurance providers.
• Strong attention to detail and accuracy in processing enrollment data and insurance information.
• Problem-solving ability to address patient concerns and resolve issues effectively.
• Strong customer service skills, particularly in assisting elderly or homebound patients.

Preferred Skills

• Experience with home healthcare services or house calls.
• Knowledge of Medicare, Medicaid, and commercial insurance policies for home health services.
• Bilingual in Spanish speaking.

Benefits

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Pay

$18-$22 an hour plus bonuses

Schedule

N/A