ECM Enrollment Representative

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $20 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🗣️🇪🇸 Spanish Required

Where this job comes from

Posted on MedZed's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of MedZed

MedZed

201 - 500 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

🌍 Social Impact

💰 $6M Venture Round - MedZed on 2021-10

Healthcare • Healthcare Insurance • Social Impact

MedZed is a care navigation and outreach company that locates, engages, and manages care for high-risk, hard-to-reach individuals—especially Medicaid members—with unmanaged clinical conditions and unmet social needs. Using locally based Navigators with lived experience, MedZed delivers hands-on, in-person and remote care management to reconnect members to primary, specialty, behavioral health and social services, close care gaps, and reduce avoidable emergency and inpatient use. The company partners with health plans and community organizations across multiple states to improve outcomes and lower costs for vulnerable populations.

📋 Description

• Conduct outbound calls to potential members • Obtain member consent for the ECM program • Accurately complete enrollment and eligibility documentation • Maintain accurate records of all outreach attempts in the technology platform • Complete warm transfers to local navigators for ongoing services and support • Complete case conferences with Clinical Advisors and Reviewers as needed • Handle billable activities as needed • Connect underserved individuals with Community Health Navigators • Work independently with minimal supervision

🎯 Requirements

• High School diploma or equivalent • 1-2 years’ experience in healthcare environment, social services or community-based organizations a plus • Call center or other sales experience • Availability to work a 1:00 pm to 9:00 pm shift • Excellent written and verbal communication skills • Bi-lingual English and Spanish • Ability to comply with HIPAA and mandated reporting requirements

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