Enrollment Specialist - Intake Coordinator

Job Title: Enrollment Specialist - Intake CoordinatorJob Description

The Enrollment Specialist is responsible for managing the end-to-end intake and enrollment process for patients seeking home care services. This role serves as a key liaison between patients, caregivers, NYIA (New York Independent Assessor), and MLTC plans to ensure timely assessments, eligibility clearance, and successful enrollment in services.

Duties and Responsibilities include but are not limited to:

• Deliver patient-centered enrollment support with professionalism, empathy, and cultural sensitivity.
• Act as the primary point of contact for individuals requiring NYIA/UAS assessments for home care services.
• Educate and guide patients and caregivers through the NYIA assessment process, including required documentation and appointment expectations.
• Schedule, confirm, and prepare patients for NYIA assessments (both virtual and in-person), ensuring all prerequisites are completed and follow up with appeals when needed.
• Proactively follow up with patients to ensure readiness for assessment, including technology checks for virtual visits when applicable.
• Assist patients with ePACES transactions, including code removal and updates, to ensure eligibility alignment and prevent delays in NYIA assessments and MLTC enrollment.
• Coordinate with Medicaid, MLTC plans, and relevant entities to resolve eligibility or restriction code issues in a timely manner.
• Assist patients with Managed Long-Term Care (MLTC) enrollment following NYIA eligibility determinations.
• Communicate effectively with NYIA, MLTC plans, healthcare providers, and internal teams to coordinate care and ensure timely case progression.
• Manage high-volume inbound and outbound calls, emails, and messages with patients, caregivers, and insurance representatives.
• Verify insurance eligibility and benefits (Medicare, Medicaid, MLTC) via portals and direct communication.
• Track and monitor NYIA assessment status, MLTC enrollment progress, and related referrals through completion.
• Accurately enter, update, and maintain patient records, case notes, and documentation in internal systems.
• Identify and escalate barriers (e.g., eligibility issues, missing documentation, code restrictions) that may delay assessment or service initiation.
• Build and maintain strong relationships with community partners and referral sources.
• Ensure strict compliance with HIPAA, Medicaid regulations, and agency policies at all times.

Qualifications and Requirements

• Fluent in English and Mandarin (Required); Cantonese (Preferred).
• Strong understanding of NYIA assessment process, MLTC enrollment, Medicaid eligibility, and ePACES functions preferred.
• Experience handling Medicaid restriction/code removal processes strongly preferred.
• Excellent communication, customer service, and interpersonal skills with a patient-focused approach.
• Highly organized, detail-oriented, and able to manage multiple cases and priorities simultaneously.
• Comfortable handling high call volumes and time-sensitive follow-ups.
• Proficient in Microsoft Office and Adobe Acrobat/PDF editing.
• Experience with ePACES, Maximus/NYIA systems, or MLTC workflows preferred.
• Familiarity with HHA Exchange or similar healthcare systems preferred.
• Ability to quickly learn new systems and adapt to evolving processes.
• Minimum 1+ year experience in intake coordination, healthcare coordination, or customer service role preferred.
• High school diploma or higher required.

Language Requirements

• English (Required)
• Mandarin (Required)
• Cantonese (Preferred)

Compensation:

• $66,300-$70,000 and negotiable

Benefits:

• 401(k)
• Gym membership
• Health insurance
• Paid sick time
• Paid time off

Work Location: Travel

Pay: $66,300.00 - $70,000.00 per year

Benefits:

• 401(k)
• Health insurance
• Paid time off
• Parental leave

Work Location: In person