Pre-Enrollment Specialist

Remote, USA Full-time Posted 2025-07-01
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Pre-Enrollment Specialist - Job Description Overview HealthXL provides virtual patient care services under the guidelines of Medicare?? Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. The Pre-enrollment Specialist (PES) position requires the ability to prioritize work and easily move between pre-enrollment activities. The PES initiates outbound phone calls to insurance companies to verify coverage and eligibility for RPM/CCM, updates and maintains the insurance database. A successful PES will exhibit excellent time management and communication skills. Full and part-time remote positions available. Responsibilities ??Maintains a thorough, up-to-date understanding of program (CCM/RPM) eligibility requirements ??Updates and maintains insurance database with verified, accurate coverages ??Initiates outbound calls to insurance providers to verify coverages not in the database ??Accesses multiple EMR platforms to verify patient eligibility for CCM/RPM. ??Maintains accurate time keeping in ADP ??Understands and follows all applicable regulatory guidelines ??Adheres to company policies including Attendance and PTO ??Willingness to cross train in support of multiple Enrollment Services functions. ??Attends scheduled meetings and trainings and participates as requested Qualifications ??Demonstrates iCare values: Integrity, Growth, Excellence ??Familiar with insurance plans/verification processes in clinic setting ??Training/experience with coding/billing helpful ??Dependable, self-directed, ability to prioritize tasks, solid time management skills ??Superior verbal communicator, remains positive and demonstrates empathy ??Demonstrated ability to provide accurate, thorough documentation ??Ability to quickly learn and navigate multiple computer platforms ??Experience working in EMRs preferred ??Comfortable with Excel spreadsheet data entry ??Fluent communicating in English, additional language proficiency a plus ??HIPAA compliant workspace ??High speed Internet connection #LI-Remote

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