Enrollment Specialist

Ready to make a difference for hospitals? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further.

 

Revecore Perks:

• Our medical, dental, vision, and life insurance benefits are available from the first day of employment
• Our Employee Resource Groups build community and foster a culture of belonging and inclusion
• We match 401(k) contributions
• We offer career growth opportunities
• We celebrate 12 paid holidays and generous paid time off  

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. 

Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.  
 
We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all bac