Enrollment Specialist

It's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at SummaryThe Enrollment Specialist guides individuals through the participant-directed services enrollment process, ensuring timely documentation, coordination, and education. This role provides person-centered support, resolves barriers, and trains participants on program requirements, financial management systems, and fraud prevention to promote successful self-direction.Duties & ResponsibilitiesEnrollment CoordinationFollows up on referrals for participant-directed servicesSupports the individual/employer and their provider(s) in completing all necessary documentation required for enrollmentPerforms all functions necessary to support the enrollment of the individual/employer/authorized representative and provider(s) including processing enrollment documentation, obtaining employer identification numbers, completing criminal background checks, and other enrollment related requirementsCommunicates referral corrections, as needed, to entities providing case management or service/support coordination entities services to the individualUpdates enrollment status of individual participants and providers through portal and records in systems. In collaboration with the enrollment supervisor, supports workforce management delegation to ensure service levels are metParticipant Education and SupportEducates the individual/employer on interacting with Public Partnerships as their fiscal intermediary, with emphasis on their authorized services, timesheet completion, enrolling subsequent providers and keys to successful self-directionProvides person-centered, need-based program education and guidance to Participants and authorized representatives specific to individual choices, goals and desired outcomesExplains and educates on Participant/authorized representative and provider roles andresponsibilities for participation in self-directed services, including processing payroll, vendor payments, tax withholding and reportingProvides direct, including train-the-trainer, instruction on how to navigate program rules, expectations and Financial Management Systems, including online enrollment, service time capture, portal and emerging technologiesProvides train-the-trainer instruction on identification and reporting of suspected fraud, abuse, neglect and exploitationProblem-Solving and Barrier ResolutionIdentifies potential barriers and bottlenecks to timely enrollment and takes necessary steps to triage and resolveEngages the entity providing case management or service/support coordination services to the individual to ensure timely coordination of service approval and authorizationCollaborates with internal and external stakeholders as necessary to ensure enrollment cycle times are minimized and the first payment to the provider(s) is received on time and in fullCompliance and Risk ManagementIdentifies, reports and appropriately follows up on allegations or reports of suspected fraudAssesses for participant abuse, neglect, and exploitation, following the appropriate reporting protocol where necessaryMaintains documentation of services provided and time committed in accordance with applicable policies and proceduresDocuments and reports evidence of individual’s inability to self-direct appropriatelyRequired Skills:Strong customer service and support experienceProficient in Microsoft Office Suite, CRM, Five 9, My Account platforms and web-based applicationsHigh aptitude for process assessment, improvement, and recommendationsExceptional verbal and written communication skillsAbility to develop strong working relationships with external and internal stakeholdersQualifications:Education: Education: Related Bachelor’s Degree Preferred; substantial professional experience in a related field may be considered in lieu of formal degree. Additional education and experience requirements as indicated by state contract requirementsExperience: Minimum of one (1) year of experience serving individuals with disabilities and/ or aging adults preferred.Other Requirements:Availability between (8 AM - 7 PM PST)Compensation & Benefits:401k Retirement PlanMedical, Dental and Vision insurance on first day of employmentGenerous Paid Time OffContinuing Education Assistance ProgramEmployee Assistance ProgramCompensation Range: $23.00 - $26.00 per hourThe above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classifiedPPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! #J-18808-Ljbffr