Enrollment Specialist

Careforth

2d • Remote

About The Position

Reporting to the Supervisor of Enrollment, the Enrollment Specialist plays a critical role in helping new families access services quickly and smoothly. You will contact incoming families within an assigned territory to start the credentialing process, confirm eligibility, verify demographic information, provide a welcoming onboarding experience, and answer questions about the program and enrollment process. You’ll ensure all required paperwork and authorizations are received on time, helping move care recipients into service efficiently. You will work closely with family caregivers, referral partners, and internal teams to create a seamless experience for new families. This position also involves building and maintaining relationships with external referral sources and primary care offices to enable effective communication and timely document collection. You’ll have the opportunity to recommend improvements to administrative processes, helping reduce the workload for referral partners and speed up access to services.

Requirements

• 2+ years customer service or intake experience, preferably in a health care environment
• Strong attention to detail and experience with data integrity in a regulated environment
• Strong written and verbal communication skills; Bilingual skills preferred
• Strong business acumen with desire to understand end-to-end business operations
• Proficient with MS Office and demonstrated ability to work across multiple systems; Working knowledge of case management systems preferred
• Able to work autonomously and as part of a larger team in a fast-paced remote environment

Responsibilities

• Contact all incoming families within an assigned territory to initiate the credentialing process, confirm minimum eligibility requirements, verify demographic information, welcome families, and answer questions about the program and enrollment process
• Manage the documentation retrieval process by gathering required paperwork from caregivers, care recipients, referral sources, and internal assessment teams to activate families into program(s) while maintaining timelines for expedited service activation
• Manage the request and collection of prior authorization forms from payor sources and case managers, tracking progress and conducting outreach as needed to expedite the authorization process
• Perform eligibility and quality assurance checks and audits to ensure all required documentation is complete and compliance standards are met
• Work across multiple systems efficiently while adhering to service levels and quality standards
• Foster positive and efficient working relationships with referral agencies and primary care provider (PCP) offices to support communication and increase referrals
• Perform additional projects and duties as assigned

Benefits

• At Careforth your well-being matters.
• With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally.
• Discover how we invest in you: https://careforth.com/careers/#benefits
• The pay range for this position is $39,542 - $46,525.
• The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed