Enrollment Specialist- California (Bilingual preferred)
Location
United States
Posted
66 days ago
Salary
$20 - $23 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Enrollment Specialist- California (Bilingual preferred)
Public Partnerships | PPL
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 www.pplfirst.com). Candidates must reside in the state of California. Bilingual (Spanish or Korean) is preferred. Duties and Responsibilities: - Follows up on referrals for participant-directed services - Supports the individual/employer and their provider(s) in completing all necessary documentation required for enrollment. - Educates 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-direction. - Identifies potential barriers and bottlenecks to timely enrollment and takes necessary steps to triage and resolve. - Engages the entity providing case management or service/support coordination services to the individual to ensure timely coordination of service approval and authorization. - Performs in-home visits of Individuals as applicable by program. - Collaborates 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 full. - Assesses Participant’s and/or authorized representative’s ability to communicate, acquire new information, act as an employer and otherwise successfully participate in a self-directed employer and/ or budget authority service model. - Communicates with Participant or authorized representative about additional supports or accommodations necessary for successful program participation. - Provides person-centered, need-based program education and guidance to Participants and authorized representatives specific to individual choices, goals and desired outcomes. - Explains and educates on Participant/ authorized representative and provider roles and responsibilities for participation in self-directed services, including processing payroll, vendor payments, tax withholding and reporting. - Provides 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 technologies. - Provides train-the-trainer instruction on identification and reporting of suspected fraud, abuse, neglect and exploitation. - Identifies, reports and appropriately follows up on allegations or reports of suspected fraud. - Assesses for participant abuse, neglect, and exploitation, following the appropriate reporting protocol where necessary. - Maintains documentation of services provided and time committed in accordance with applicable policies and procedures. - Performs 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 requirements. - Communicates referral corrections, as needed, to entities providing case management or service/support coordination entities services to the individual. - Updates 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 met. - Documents and reports evidence of individual’s inability to self-direct appropriately. Required Skills: - Strong customer service and support experience - Proficient in Microsoft Office Suite, CRM, Five 9, My Account platforms and web-based applications - High aptitude for process assessment, improvement, and recommendations - Exceptional verbal and written communication skills - Ability to develop strong working relationships with external and internal stakeholders Qualifications: - Education: Related Bachelor’s Degree Preferred; can be substituted with 1+ years of related experience. Additional education and experience requirements as indicated by state contract requirements - Experience: 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) - Bilingual preferred (Spanish or Korean) Compensation & Benefits: - 401k Retirement Plan - Medical, Dental and Vision insurance on first day of employment - Generous Paid Time Off Compensation Range: $20.00- $23.13 hourly The 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 classified PPL 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!
Related Guides
Related Categories
Related Job Pages
More Bilingual Jobs
Job Title: Psychologist Location: Virtual / Remote At HavenPoint Health, we pride ourselves on delivering exceptional healthcare services to our community. With a team of dedicated professionals, we are committed to creating a supportive and welcoming environment for both patients and staff. We are seeking a motivated, compassionate, and detail-oriented Psychologist to join our team. Position Overview: We are hiring a Psychologist for a remote contract role. In this position, you will conduct comprehensive assessments for our Veteran community, ensuring accurate evaluations and compassionate, patient-centered care. We are flexible and able to accommodate your schedule. Key Responsibilities: -Conduct comprehensive psychological assessments for Veterans -Complete all required forms/documents accurately and in a timely manner. -Evaluate mental health conditions, functional impairments, and psychological well-being in alignment with assessment guidelines. -Provide clear, thorough documentation and reports based on assessment findings. -Deliver exceptional care with sensitivity, professionalism, and attention to detail. Qualifications & Experience: -Minimum 1 year of experience as a clinical Psychologist -Doctoral or Master’s degree in Psychology from an accredited program. -Active Psychologist license in good standing within the applicable province. -Experience conducting psychological assessments (virtual experience is an asset). -Exceptional interpersonal skills with the ability to manage sensitive and complex cases professionally and objectively. Compensation: Competitive hourly rate, commensurate with experience and qualifications. What We Offer: -Competitive compensation. -Flexible work schedule to best suit your needs. -Opportunities for professional growth and career advancement. -A collaborative, supportive, and mission-driven workplace culture. At HavenPoint Health, you’ll be part of a compassionate team dedicated to making a meaningful difference in the lives of our Veterans. We value our team and foster an environment where clinicians can thrive professionally while delivering exceptional care. Apply today to become a valued member of the HavenPoint Health team and support our Veteran community through impactful care.
Overview: Snapscale is seeking for a US Clinic Coordinator – Spanish Speaking who can work remotely to support a US - based healthcare practice by communicating with Spanish-speaking patients. This is a remote role where you will handle appointment scheduling and follow-ups, inbound and outbound calls, insurance verification, and patient record management using EMR systems. The role requires strong communication skills, attention to detail, and a compassionate, patient-centered approach. Perks: - Health Maintenance Organization (HMO) - Competitive pay - Government-mandated benefits - 13th month pay - Night differential pay - Internet allowance - Perfect attendance bonus - Yearly salary increase - Opportunities for career growth and development Requirements - Proficient in both written and spoken Spanish and English - Minimum 6 months BPO experience in a Spanish bilingual account (required) - Healthcare account experience in a BPO setting is a plus - Experience working with U.S. clinics or hospitals is preferred - Familiarity with EMR/EHR systems, insurance verification, patient scheduling, and inbound/outbound calling - Strong communication and interpersonal skills with empathy for patient concerns - Highly organized, detail-oriented, and reliable - Must have a stable internet connection and a quiet remote work environment
Bilingual Patient Access Representative
HCA - Hospital Corporation of AmericaHCA - Hospital Corporation of America was established in 1968 as one of the first hospital companies in the United States. Over the last 40 years, Hospital Corp
• Represent Clinical Health Network for Transformation (CHN) to consumers in a friendly, positive, and effective manner • Field and resolve a large volume of inquiries via phone and other methods within the Patient Access Center in Spanish or English • Follow communication scripts, schedule appointments, verify patient insurance, pre-register patients for appointments, and screen for alternate funding sources • Advise patients of service estimates and perform tasks that allow patients to visit their health center seamlessly • Provide exceptional customer service, treating all callers with dignity and respect • Collaborate with other Patient Access Center team members to achieve quality and performance standards
Certified Medical Assistant, Bilingual Haitian/Creole
MedsienThe only Remote Care Management that everyone loves!
• Patient Enrollment: Guide patients through the enrollment process for healthcare programs, ensuring accurate and complete documentation. • Program Eligibility Assessment: Evaluate patient eligibility for specific healthcare programs based on criteria provided, such as age, medical conditions, or other qualifying factors. • Patient Consultation: Conduct comprehensive consultations with patients to gather necessary information and explain the benefits and requirements of various healthcare programs. • Documentation and Record-Keeping: Accurately document patient information, enrollment details, and program eligibility assessments in electronic health records (EHR) or other designated systems. • Follow-Up and Coordination: Monitor the progress of enrollment applications, communicate with patients, and collaborate with internal and external stakeholders to facilitate the enrollment process. • Patient Education: Provide patients with clear and concise explanations regarding healthcare programs offered by Medsien. • Compliance and Privacy: Adhere to all relevant privacy regulations, such as HIPAA, and maintain strict confidentiality of patient information. • Program Updates: Stay informed about changes, updates, and new offerings related to healthcare programs, and effectively communicate these changes to patients. • Collaborative Approach: Work closely with healthcare providers, insurance companies, social workers, and other relevant parties to ensure seamless patient enrollment.


