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Customer Service Specialist I - Enrollment/Call Queue Support
<p><span style="background: white; color: black; font-family: arial, helvetica, sans-serif; font-size: 10pt; white-space: normal;">Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.</span></p><div style="font-family: 'Segoe UI'; font-size: 14px; line-height: 20px;"> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Enrollment Specialist / Customer Service Representative</span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Location:</strong> Remote</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Schedule:</strong> Monday–Friday, 7:30 AM – 5:30 PM (ET)</span></p> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Position Overview</strong></span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">The Enrollment Specialist / Customer Service Representative supports applicants and enrolled providers for <strong>Home and Community-Based Services (HCBS) waiver programs</strong>. This role is responsible for guiding providers through enrollment requirements, reviewing applications, and ensuring all necessary documentation is completed accurately.</span></p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">This is a highly collaborative role requiring strong customer service, organization, and attention to detail while working in a remote team environment.</span></p> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Key Responsibilities</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Respond to inbound calls, emails, and messages from applicants and providers regarding enrollment, requirements, compliance, and scheduling</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Serve as a central point of contact for provider-related inquiries</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Review and screen provider applications for completeness and accuracy</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Identify potential compliance issues and escalate to project management as needed</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Return incomplete applications with clear guidance on required documentation</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Conduct outreach via phone and email to assist applicants in completing submissions</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Document all interactions with clear and concise contact notes</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Coordinate with internal teams to route non-HCBS inquiries appropriately</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Submit completed applications for quality assurance review</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Support enrollment tracking and follow-ups across a high-volume workload (40+ applications)</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Perform additional duties as assigned</span></li> </ul> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Required Qualifications</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Minimum <strong>2 years of customer service experience</strong></span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Strong organizational skills with attention to detail and accuracy</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Ability to manage multiple priorities and high-volume workloads</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Excellent written and verbal communication skills</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Ability to work independently while collaborating with a remote team</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Proficiency with <strong>Microsoft Office (Excel, Outlook, Teams, SharePoint)</strong></span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Comfortable learning new systems and processes</span></li> </ul> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Education & Experience</strong></span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Option 1:</strong></span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Bachelor’s degree <strong>and</strong> 2 years of experience working with providers</span></li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Option 2 (in lieu of degree):</strong></span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Minimum <strong>36 months of experience</strong> working with providers</span></li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Required Experience Includes:</strong></span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Working with healthcare or social service providers (e.g., critical care, public health, HCBS populations)</span></p> </li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Experience serving special populations such as children, older adults, individuals with TBI, or developmental disabilities</span></p> </li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">At least <strong>one year of experience</strong> in one or more of the following:</span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Provider monitoring</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Medicaid or third-party payer billing</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Provider training</span></li> </ul> </li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">At least <strong>one year of experience</strong> in one of the following settings:</span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Home health, community health, or HCBS programs</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Hospitals or private practices</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Long-term care or mental health programs</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Publicly funded or community-based social service programs</span></li> </ul> </li> </ul> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Preferred Qualifications</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Experience with HCBS waiver programs or Medicaid enrollment processes</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Prior experience in provider relations or healthcare compliance environments</span></li> </ul> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Additional Information</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Remote role; must be available during standard business hours</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">No supervisory responsibilities</span></li> </ul> <hr> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Keywords</strong></span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">HCBS, Medicaid, Provider Enrollment, Customer Service, Application Review, Healthcare Administration, Provider Relations, Compliance, Data Entry, Microsoft Excel, Outlook, SharePoint, Remote Work, Healthcare Operations, Case Management Support, Call Center, Public Health, Waiver Programs</span></p> </div><p style="margin-top: 0px; margin-bottom: 0px;"><span style="color: #060505;"><span style="white-space: normal;"><span style="font-family: Arial; font-size: small;">Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.<br><br></span></span></span></p> <p><span style="font-family: Arial; font-size: small;">Applicants must be authorized to work in the U.S. <span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application. </span></span></p> <p style="margin-top: 0px; margin-bottom: 0px;"><span style="color: #060505;"><span style="font-family: Arial; font-size: small;"><span style="white-space: normal;"> </span> </span></span></p> <p style="margin-top: 0px; margin-bottom: 0px;"><span style="white-space: normal;"><span style="color: #060505;"><span style="font-family: Arial; font-size: small;">All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. <span style="-webkit-text-stroke-width: 0px; font-variant-caps: normal; font-variant-ligatures: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; white-space: normal; widows: 2; word-spacing: 0px;">Staffing Solutions Organization LLC is an E-Verify participant.</span></span></span></span></p>