Eligibility & Enrollment Processing Assistant (Remote-NC)

Competitive Compensation & Benefits Package! Position eligible for –Annual incentive bonus planMedical, dental, and vision insurance with low deductible/low cost health planGenerous vacation and sick time accrual12 paid holidaysState Retirement (pension plan)401(k) Plan with employer matchCompany paid life and disability insuranceWellness ProgramsPublic Service Loan Forgiveness Qualifying EmployerSee attachment for additional details.Office Location: Primarily Remote; Available for any of Partners NC locations.Projected Hiring Range: Depending on ExperienceClosing Date: Open Until FilledPrimary Purpose of Position: This position provides clerical support services to the Eligibility & Enrollment Department. Position will have the primary responsibility for data entry associated with all aspects of enrollment, eligibility, updating of consumer information. The Eligibility & Enrollment Processing Assistant will act as a liaison to other departments within the LME/ MCO and service providers and their support staff and will work in conjunction with all to ensure that all processes and procedures are followed regarding consumer eligibility.Role And ResponsibilitiesCommunicate on a consistent basis with the Eligibility & Enrollment team, Health Information Management Department, Claims Department, Call Center and service providers regarding corrections and resolution to issues that arise due to eligibility, discharge, and consumer information.Manage Faxcore incoming faxes from providers, hospitals, medication requests and court ordered evaluations. Disperse fax requests to appropriate staff within the Eligibility & Enrollment Department and other departments as needed. Coordinate and maintain Enrollments, Update Requests, Benefit Plan changes, Special Project Enrollment Forms, CNDS cross referencing, CNDS provider requests and consumer Discharges. Maintain an accurate and current Eligibility and Enrollment procedure manual. Verify departmental staff’s annual and sick leave to the ACCESS calendars. Assist other departments within Partners with any appropriate requests in order to ensure accuracy of CDW data and verification of NCTracks data.Verifying all required enrollment data has been collected, is accurate and is enrolled in NCTracks under Partners BHMWork closely with the Eligibility & Enrollment Supervisor and the Health Information Management unit to resolve discrepanciesApproving and processing enrollments, updates and discharge requests, manual entry of Special Project Enrollment forms.Attend Eligibility & Enrollment team meetings and other events identified by the Eligibility and Enrollment Manager and/or Eligibility and Enrollment Supervisor.Compose memorandums, spreadsheets, and reports, as well as the review of written training/education and marketing materials. Maintain files including but not limited to documents generated from the Eligibility & Enrollment Department and ACCESS department and electronic medical record documents received from providers.Other duties as assigned.Knowledge, Skills And AbilitiesConsiderable knowledge of office practices, techniques and technology sufficient to support the programKnowledge of the MH/SU/ IDD system and terminology Excellent communication and grammar skills utilizing accuracy and attention to detailExcellent computer skills and proficiency in Microsoft Office products (Word, Excel, Outlook) Ability to operate general office equipment (copier, switchboard, postage meter, fax machine)Ability to gather information and produce reportsAbility to establish and maintain effective interpersonal relationshipsAbility to analyze and interpret policy and procedural guidelinesAbility to organize work flow and coordinate activitiesAbility to effectively problem-solveAbility to recognize sensitive or unusual situations that should be referred to another more appropriate staff member or to the supervisorAbility to manage and uphold integrity and confidentiality of sensitive dataEducation/Experience Required: High School graduate or equivalent and two (2) years of administrative support experience; or an equivalent combination of training and experience.Education/Experience Preferred: Experience that includes Medicaid eligibility