Enrollment Services Specialist (Org) (Home Based)

Job description

Description Join our award winning culture as we serve members in your area! Under the general supervision of the Enrollment Services Manager, the Enrollment Services Specialist is responsible for enrollment and eligibility coordination of Lakeland Care, Inc. (LCI) membership. The Enrollment Services Specialist ensures that member enrollment information is accurately maintained in the Wisconsin Forward Health system, CARES system, and Lakeland Care system. The Enrollment Services Specialist monitors the eligibility status of members in an assigned caseload and assists members as needed in fulfilling annual financial reporting requirements for Medicaid membership recertification. Essential Competencies: - Oversee the data entry of member demographic and enrollment information into the TruCare System as well as any state systems; handle daily decisions and problem solving. - Perform enrollment reconciliation tasks, to include reviewing Forward Health reports on pending and final enrollments and determine discrepancies with local systems; research and determine appropriate changes; and initiate and monitor corrections to safeguard member eligibility for Family Care programs. - Evaluat...