Enrollment Specialist (Ecuador)

ABOUT COLURE HEALTH & THE ROLE

Colure Health operates the Mozaiq Care+ platform, which includes post-discharge outreach and ongoing care-management programs — Transitional Care Management (TCM), Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI) — for health-system partners including NYC Health + Hospitals.

The Enrollment Specialist is the first point of contact in the patient journey: working from provider and discharge patient lists, the Specialist identifies eligible patients, verifies their information and insurance, obtains consent, and completes enrollment in Mozaiq Care+ before handing the case to a Care Coordinator for post-discharge outreach. This role supports U.S. Eastern Time (ET) business hours. Ecuador Time (UTC−5) closely tracks U.S. Eastern Time year-round (aligned during EST and one hour ahead of ET during EDT), which minimizes schedule disruption compared with other regions. Ecuador’s official currency is the U.S. dollar, which simplifies pay benchmarking against the ranges below.

KEY RESPONSIBILITIES

•     Review provider and discharge patient lists (PCP panels, specialist rosters, and hospital discharge census) to identify patients who may qualify for Colure Health’s Mozaiq Care+ care-management programs: Transitional Care Management (TCM), Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI).

•     Make first contact with each identified patient — ahead of the Care Coordinator’s outreach call — to introduce Colure Health and explain the relevant program in clear, plain-language terms.

•     Verify all information needed to enroll the patient: identity, demographics, insurance/payer details and coverage, caregiver contacts, and program-specific eligibility criteria (qualifying diagnosis, time-since-discharge window, and similar requirements).

•     Obtain and accurately document verbal or written patient consent prior to enrollment, consistent with program and payer requirements.

•     Set the patient up in Mozaiq Care+: create or update the patient record, confirm insurance and eligibility, and complete enrollment intake so the case is fully ready before hand-off.

•     Hand off each verified, enrolled patient to a Care Coordinator with complete, accurate notes so the post-discharge outreach call can move directly into the safety screen and scheduling conversation without re-asking for information already collected.

•     For Remote Patient Monitoring enrollments, coordinate device shipment and walk the patient or caregiver through setup, expectations, and basic troubleshooting.

•     Resolve enrollment barriers — consent hesitation, distrust, language, confusion about cost or insurance — using an Acknowledge – Reframe – Solve – Close approach.

•     Maintain accurate, audit-ready enrollment, insurance-verification, consent, and disenrollment/opt-out records in Mozaiq Care+.

•     Use qualified interpreter support and caregiver-permission protocols for limited-English-proficiency, elderly, and caregiver-involved patients, consistent with Colure Health standards.

•     Track personal list-to-enrollment conversion metrics and participate in regular call review and QA coaching.

REQUIRED QUALIFICATIONS

•     Native or fluent Spanish plus strong English (C1) — this bilingual fluency lets Ecuador-based staff speak directly with NYC Health + Hospitals’ large Spanish-speaking patient population without routing through interpreter support.

•     High school diploma or equivalent; coursework or experience in healthcare administration, insurance, or care management is a plus.

•     6+ months of experience in a contact-center, healthcare-enrollment, insurance, or patient-facing administrative role.

•     Comfortable explaining program benefits and consent requirements clearly, accurately, and without overstating what a program guarantees.

•     Strong active listening and rapport-building skills; able to work through hesitation or confusion about enrollment without applying pressure.

•     Solid computer literacy and the ability to accurately enter and verify demographic, insurance, and consent data in Mozaiq Care+.

•     High attention to detail; enrollment and consent records must be accurate and audit-ready.

•     Reliable high-speed internet, a quiet distraction-free workspace, and equipment suitable for handling sensitive health and insurance information.

•     Available to work scheduled shifts within the role’s Eastern Time (ET) operating window.

•     Able to pass a background check and complete HIPAA / PHI-handling training prior to handling live patient enrollments.

PREFERRED QUALIFICATIONS

•     Prior experience with Transitional Care Management, Chronic Care Management, Remote Patient Monitoring, or Behavioral Health Integration programs.

•     Experience with insurance verification, eligibility checking, or medical billing basics.

•     Familiarity with EHR, CRM, or care-management enrollment platforms, including reviewing provider panels or patient rosters.

WHAT SUCCESS LOOKS LIKE

•     List-to-enrollment conversion rate among patients identified from provider and discharge lists as program-eligible.

•     Insurance-verification and consent and intake documentation accuracy and completeness in Mozaiq Care+.

•     RPM device activation and successful setup rate, where applicable.

•     Zero compliance incidents: no enrollment completed without valid consent, no clinical advice given, no overstated program claims.

•     Turnaround time from patient-list review to verified enrollment and hand-off to a Care Coordinator.

WHAT COLURE HEALTH OFFERS

•     Full paid training on Mozaiq Care+ care-management programs (TCM, CCM, RPM, BHI), consent requirements, and the Mozaiq Care+ platform before handling live enrollments.

•     Remote, work-from-home role with a defined, consistent shift schedule.

•     Ongoing coaching and QA feedback from a dedicated Enrollment Program Manager.

•     Career growth path within Colure Health’s care-management organization.

ROLE BOUNDARIES & COMPLIANCE

Enrollment Specialists are not clinicians.

Enrollment Specialists do not diagnose, provide clinical advice, or make final care-eligibility determinations on their own judgment - clinical eligibility is confirmed by Colure Health's clinical team. Their job is to work the provider/discharge list accurately, explain programs clearly, verify insurance and consent, and complete enrollment so the Care Coordinator can move straight into safety screening and scheduling.

Applicants must reside in the country posted.