Enrollment Specialist
at Public Consulting Group

Date Posted: 9/23/2019

Job Description

Public Partnerships LLC, a subsidiary of Public Consulting Group 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.publicpartnerships.com).



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 the enrollment process, their role as an employer of record, and the role of Public Partnerships as their fiscal intermediary.
  • Identifies potential barriers and bottlenecks to timely enrollment and take 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.
  • Supports the individual/employer and their provider(s) through the completion of enrollment documentation telephonically and online.
  • 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.
  • 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.
  • 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 ensuring consistent communication with the case management/support coordination function on service authorization.
  • Documents and reports evidence of individual’s inability to self-direct to Account Management.
  • Reports and responds to all individual complaints regarding Public Partnerships services using required reporting processes and systems.

Some travel will be required. 



Qualifications

  • Demonstrated exemplary customer service and support experience
  • High computer literacy with proficiency in Microsoft Office products and web-based applications
  • High aptitude for process assessment, improvement and recommendation
  • Exceptional verbal and written communication skills
  • Ability to develop strong working relationships with external and internal stakeholders
  • Reliable transportation

Education: 

Bachelor’s Degree in human services field from an accredited institution AND at least one year professional experience working with persons who are elderly or disabled

OR

Bachelor’s Degree in any field from an accredited institution AND at least two years professional experience working with persons who are elderly or disabled.

OR

At least 3 years professional experience working with persons with disabilities

Experience:  Dependent on education

Full-time employees are offered medical, dental and vision insurance on their first day of employment. PCG has a choice of two medical plans with Blue Cross Blue Shield that offer both in-network and out-of-network coverage. Staff may choose between three coverage levels. Dental Insurance is also provided by Blue Cross Blue Shield. The vision coverage is through EyeMed.

Full time Non-exempt (Hourly) employees accrue three weeks or 15 days per year (accrual 10 hours per month)

Job Snapshot

About Us

Public Consulting Group, Inc. (PCG) provides management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has more than 1,700 professionals in 55 offices around the U.S. and in Montreal, UK and Poland. The firm draws on more than two decades of consulting to public sector clients in all 50 states and Canada to deliver best-practice solutions and measurable results to state and local public agencies, state-operated facilities, and private providers that do business with government agencies.

PCG is committed to a diverse workforce which is a reflection of our clients and the people they serve. Our organizational culture attracts and rewards people who are results-oriented and interested in making an immediate impact on their community as well as their own career.

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