Enrollment Specialist

Job not on LinkedIn

🔥 15 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $21 - $24 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Public Partnerships | PPL

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Public Partnerships | PPL is a provider of financial management and administrative services that enable self-directed Medicaid long-term care. The company helps eligible Medicaid participants hire and manage caregivers (including family or friends), handles payroll, payments, tax and compliance paperwork, and offers online tools and support to participants, caregivers, and program administrators. PPL partners with state Medicaid agencies and managed care organizations to administer self-directed care programs across multiple states, aiming to simplify program administration and keep people in their homes.

📋 Description

• Follow up on referrals for participant-directed services • Support individuals/employers and providers in completing enrollment documentation • Identify and resolve barriers and bottlenecks to timely enrollment • Coordinate with case management and service/support coordination entities • Collaborate with stakeholders to minimize enrollment cycle times and ensure timely, complete provider payments • Process enrollment documentation, obtain employer identification numbers, complete criminal background checks, and handle other enrollment requirements • Communicate referral corrections and update participant and provider enrollment statuses in portals and systems • Support workforce management delegation to meet service levels • Assess participants’ and authorized representatives’ ability to communicate, learn, act as employers, and self-direct services • Communicate needed supports and accommodations • Perform in-home visits as applicable • Document and report inability to self-direct appropriately • Educate participants and employers on fiscal intermediary interactions, authorized services, timesheets, provider enrollment, and self-direction • Provide person-centered program education and guidance • Explain participant, authorized representative, and provider roles and responsibilities, including payroll, vendor payments, tax withholding, and reporting • Provide direct and train-the-trainer instruction on program rules, Financial Management Systems, online enrollment, service time capture, portals, and emerging technologies • Train on identification and reporting of suspected fraud, abuse, neglect, and exploitation • Identify, report, and follow up on suspected fraud • Assess and report participant abuse, neglect, and exploitation according to protocol • Maintain documentation of services and time in accordance with policies and procedures

🎯 Requirements

• Must reside in the state of Virginia • Strong customer service and support experience • Proficient in Microsoft Office Suite, CRM, Nexus, Better Online, Adobe Sign 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 • 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 • Minimum of one (1) year of experience serving individuals with disabilities and/or aging adults preferred • Ability to perform regular business travel and applicable in-home visits

🏖️ Benefits

• Remote work arrangement • Regular business travel • Base salary within the posted range • Equal opportunity and inclusive workplace culture