University of Massachusetts Medical School

  • Enrollment Coordinator

    Minimum Salary US-MA-Charlestown
    Job Location 3 months ago(3 months ago)
    Requisition Number
    2018-31229
    # of Openings
    1
    Posted Date
    Day
    Shift
    Exempt
  • Overview

    GENERAL SUMMARY OF POSITION: 

    Under the general direction of the Manager or designee, the Program Coordinator will be responsible for coordinating assigned program activities. The primary responsibilities of the program coordinator include providing customer service to Medicaid recipients  to assist them with the Medicare enrollment process, handling in-coming calls from a diverse client population, conducting outreach and follow-up calls to recipients to ensure successful enrollment in Medicare, updating case records in proprietary database and reporting program activities and results.  The Program Coordinator will participate in the daily operations of Medicare Eligibility Enhancement Program projects and assist in the project activities relating to cost savings and revenue initiatives both in- and out-of-state.

     

    Responsibilities

    MAJOR RESPONSIBILITIES:

    • Coordinate and monitor assigned program activities. 
    • Review and analyze data relating to program effectiveness.
    • Make recommendations for changes in procedures and guidelines and formulate strategies for accomplishing program objectives.
    • Provide technical assistance and advice to agency personnel and others concerning assigned programs in order to exchange information, resolve problems and ensure compliance with established policies, procedures and standards.
    • Develop and implement procedures and guidelines to accomplish assigned agency program objectives and goals.
    • Confer with management staff and other agency personnel to determine program requirements and availability of resources and assist in developing program evaluation criteria and standards.
    • Evaluate program activities and make recommendations for program modifications.
    • Review existing regulations that pertain to programs and services and make recommendations for improvements or changes, particularly as it relates to meeting contractual requirements.
    • Comply with established policies, health & safety regulations and requirements, procedures and department objectives.
    • Review and monitor compliance with the federal and state regulations.
    • Maintain the confidentiality of all business documents and correspondence per UMMS/CWM procedures and HIPAA regulations
    • Perform other related program duties as assigned.

    Qualifications

    REQUIRED QUALIFICATIONS:

    • Bachelor’s degree in business or public administration or related field; or equivalent experience.
    • Two years of related experience in business administration, business management or public administration.
    • Ability to understand, apply and explain pertinent laws, rules, regulations, policies, and procedures.
    • Ability to work independently and collaboratively.
    • Ability to relate and communicate well with a diverse client population.
    • Ability to communicate effectively in both writing and oral presentation.
    • Demonstrated ability to work appropriately with confidential information.
    • Skilled in problem solving and team building
    • Effective negotiating skills.
    • Strong interpersonal skills needed to interact with all organizational levels.
    • Demonstrated ability to assess priorities and operate in a flexible manner.
    • Demonstrated experience using computer based tools including email, Microsoft Word, Excel, PowerPoint and database environments.

     

     

     

    PREFERRED QUALIFICATIONS:

    • Previous professional experience in customer service or call center role.
    • Experience working with federal and state agencies, preferably health and human services organizations.
    • Knowledge of state and federal health insurance programs.
    • Ability to utilize questioning and listening skills that support effective telephone communication.
    • Ability to apply the proper telephone etiquette to satisfy various client and agency situations.
    • Experience working with Microsoft Access and SQL data environments

    Additional Information

    Bi-lingual candidates are encouraged to apply

     

     

    About the Center for Health Care Financing and Medicare Eligibility Enhancement Programs Team

     

    The Center for Health Care Financing (CHCF) is a part of Commonwealth Medicine (CWM), the health care consulting division of UMass Medical School, Massachusetts’ only public medical school. As nationwide leaders in the development and implementation of health care reform, CWM and CHCF stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level.

     

    Located in Charlestown, MA, CHCF helps state agencies identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs, and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery, and help ensure individuals receive the health and human service benefits to which they may be entitled.

     

    The Medicare Eligibility Enhancement Programs (MEEP) Team at CHCF works with state Medicaid programs to identify and coordinate federal and state benefits for program recipients, helping ensure that individuals receive all benefits to which they are entitled.  The MEEP team develops and implements benefit coordination initiatives which achieve cost savings and revenue opportunities for Medicaid agencies by ensuring federal benefits are appropriately identified and coordinated for state program recipients.

     

    The Team focuses on identifying and coordinating eligibility for Social Security, Medicare, and Medicare Buy-In benefits for state Medicaid recipients.  Current activities include identification of Medicare benefits, assistance with the Medicare application and enrollment process, review of eligibility for Social Security benefits and reconciliation of state Medicare premium payments. MEEP currently works with state Medicaid agencies in four states.


    This position is in the Schrafft's Building, located in Charlestown, Massachusetts, just north of Boston and easily accessible by public transportation.

     

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