Enrollment Specialist
At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.
Work that matters. People who care. Empowered to deliver results.
Why Work Here
Work That Matters - Help hospitals and communities by solving problems that make a real difference.
People Who Care - Work alongside teammates who support each other and our clients.
Room to Grow - Grow your career through learning, development, and internal opportunities.
Empowered to Deliver - Take ownership, use innovative technology, and do your best work.
Benefits That Support You - Comprehensive health coverage, 401(k) match, paid training, generous PTO, paid holidays, and more.
Location: Hybrid in Denver, CO (REQUIRED ON-SITE WORK ON TUESDAYS AND THURSDAYS - NOT NEGOTIABLE)
The Role:
The Enrollment Specialist is primarily responsible for effectively assisting clients in securing medical coverage by processing Colorado Medicaid applications. This position is also responsible for assisting uninsured and under-insured clients secure healthcare benefits by performing the following duties.
As an Enrollment Specialist, you will:
Follow established company protocol and procedures on case load management for active and approved.
Document CBMS and company database with action that was taken on the account/application in a timely manner.
Effectively and accurately follow established work procedures and guidelines to be efficient in the Medicaid case processing and re-determination processes. Include application completion, collection of all documentation, data entry into CBMS, including detailed case comments.
Process Medical Assistance applications for:
Long Term Care
MAGI
Non-MAGI
Maintain a current caseload according to company protocol.
Attend any company and/or facility compliance trainings, as well as trainings put on by the State of Colorado.
Comply with all company policies as well as state and federal regulations including, but not limited to attendance, performance, patient privacy, system security and safety.
Maintain knowledge of all State MCD and CHP+ policy information/guidelines/training.
Locate, understand, and interpret written information in a variety of formats including documents such as manuals, reports, graphs, etc.
Follow current HIPAA guidelines.
Use own vehicle to travel to various locations for reasons including, but not limited to, outside training, facility coverage, home visits, and agency visits.
Use reference material available on Darwin, CBMS, HCPF website effectively and regularly.
Effectively use computer systems to include but not limited to company database system, hospital system, and CBMS database.
Effectively document and demonstrate a performance standard of 85 consistently.
Maintain 90% accuracy on awarding of benefits through CBMS.
You will be successful if you have:
High school diploma or general education degree (GED)
1-3 years of related experience in an Enrollment Specialist or similar role.
Have current CBMS access and LTC certification.
Experience processing Medical Assistance applications (Long Term Care, MAGI, Non-MAGI).
MS Office proficiency
Strong typing and documentation skills
Exemplary customer service
Strong written and verbal communication skills
Strong time management and organizational skills
Bilingual English / Spanish is required for some positions.
Work at Home Requirements:
A quiet, distraction-free environment to work from in your home.
A secure internet connection is required.
Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.
The initial salary range for this position is $20.00 to $24.00 USD per hour. The final salary offered will be determined based on many factors, including the candidate's job-related skills, experience, qualifications, and certifications.
Revecore is an Affirmative Action/Equal Opportunity Employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.
Employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.