Enrollment Specialist

About Us: :

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.

Position Summary: :

Reporting to the Supervisor, Enrollment, the Enrollment Specialist is responsible for contact with family caregivers to begin the credentialing process and ensuring all required paperwork and authorizations are received in a timely manner to efficiently move care recipients into service. This individual will work directly with family caregivers, referral partners and internal stakeholders to optimize the customer experience for new families coming into the program. This includes making recommendations on administrative and process improvements to relieve the administrative burden of referral partners and decrease the time it takes for families to gain access to Careforth services. This role will also manage relationships with external referral sources and PCP offices to enable efficient communication and document gathering.

What You Will Do: :

• Contact all incoming families in an assigned territory to begin the credentialing process, confirming they meet the minimum eligiblity requirements of the program, verifying required demographic information, welcoming them to the Careforth family and answer any outstanding questions about the program and the enrollment process
• Manage documentation retrieval process, gathering required paperwork from caregivers, referral sources, and internal assessment teams to activate families into Careforth program(s); maintain and adhere to timelines in support of expedited service activation
• Manage the collection of prior authorization forms from payor sources and case managers, tracking progress and making outreach as needed to expedite the authorization process
• Works across multiple systems effectively and efficiently while adhering to Careforth service levels and quality standards
• Foster positive and efficient working relationships with referral agencies and PCP offices to increase communication and referrals
• Perform quality assurance checks to ensure required documentation is in place and compliance standards are met
• Perform other projects and duties as assigned

What You Will Bring: :

• 2+ years customer service or intake experience required, preferably in a health care environment
• Understanding of familiarity of Medicaid waiver is highly desired
• Strong attention to detail and experience with data integrity in a regulated environment required
• Strong written and verbal communication skills; bilingual skills a plus
• Phone etiquette is critical for success
• Proficient with MS Office and demonstrated ability to work across multiple systems; Working knowledge of case management systems preferred
• Able to work autonomously and as part of a larger team in a fast-paced remote environment

You'll Benefit From: :

At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you:

The pay range for this position is $38653 - $52214. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.

Join Our Award Winning Team: :

Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn.

Caregivers play a critical role in the future of healthcare—and so can you.

Apply now!

For more information, please visit .

Careforth is an Equal Opportunity Employer*

DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

*Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.

Careforth strives to create experiences that are accessible and welcoming to everyone, including making and the careers site accessible to any and all users. If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.