Enrollment Specialist

• Develop and utilize in-depth knowledge of Renalogic programs
• Make calls and conduct outreach to describe program benefits
• Engage and enroll eligible health plan members into kidney disease clinical programs
• Meet call volume and enrollment requirements
• Use phone, text, and secure online chat for member outreach
• Determine eligibility and complete enrollment and disenrollment processes
• Partner cross-functionally with operational business units
• Obtain missing information and complete enrollment questionnaires
• Contact provider offices for fax numbers and medical records
• Anticipate workflow needs based on established processes and procedures
• Document outreach efforts in compliance with HIPAA
• Document health data and identify potential cost containment opportunities
• Refer high-risk or status-change situations to Health Coaches and/or Care Managers
• Communicate needs, challenges, and feedback to peers and Coaches
• Complete claims and pre-certification reviews as needed

Explore Outreach & Enrollment Specialist at Renalogic. Review requirements and application details.