Enrollment Specialist

Job Brief

We have a vacancy of Enrollment Specialist in our company, Inland Empire Health Plans. This vacancy is based in Rancho Cucamonga CA 91730. Please go through the job detail mentioned below.

Position Title: Enrollment Specialist
Company: Inland Empire Health Plans
Work Type: Full Time
City of work: Rancho Cucamonga CA 91730
Salary: $48,110 – $59,426 a year
URL Expiry: 2022-08-16
Posted on: jobsintelecom.net

Job Detail

Position Summary/Position

Under the direction of the Enrollment Manager, the Enrollment Specialist is responsible for providing full-service application assistance to the uninsured, including screen for program eligibility, complete a Covered California or Medi-Cal application, and submit the application to Covered California or Medi-Cal Office on the applicant. The Specialist will follow up on the submission to ensure the application is processed and a final decision is made on applicant’s eligibility. For active Medi-Cal beneficiaries who want to enroll with IEHP, the Specialist will complete a Health Plan Choice Form to be submitted to State for approval. Additional responsibilities include inbound and outbound sales calls and follow-up calls to help potential Members apply for Covered California and/or Medi-Cal. The Specialist will also be out in the field as requested for external enrollment events. Major Functions (Duties and Responsibilities)

1. Consistently meet or exceed daily, weekly, and monthly quotas for providing screening and/or application assistance, for inbound and outbound calls.

2. Provide excellent customer service during telephone screening and/or application assistance for Medi-Cal, Healthy Kids, and other state health programs including conducting outbound sales campaigns to Members and the public.

3. As appropriate, complete applicable application form, while the customer is on the phone, then provide instruction for all related follow-up procedures and processes.

4. Provide in person assistance and/or application completion to any potential Member who walks in and requests enrollment assistance, application completion and/or information.

5. Qualify candidates by calculating their household income and by using other approved qualification methods and worksheets.

6. Advise candidates of the documentation required to complete the application and answer questions and issues about the enrollment process.

7. Complete all assigned reports or documentation to facilitate the successful enrollment into a designated program to include qualification worksheets, applications, appropriate letters, instructions to potential candidates and daily/weekly activity reports.

8. Communicate with Members utilizing translation applications/programs via applicable devices when candidates speak other languages and/or have a disability.

9. Assist in the development and training of new Enrollment Specialists, as needed.

10. Respond to all incoming and outgoing mail and complete other administrative unit duties assigned.

11. Document all calls in detail to create a recorded history for future interaction with each Member with Customer Relationship management (CRM) database

12. Present cases and work with a manager in resolving potential Member issues. Supervisory Responsibilities Leading: Self Experience Qualifications

Three (3) years of experience in the following disciplines:

• In-house sales
• Outbound Sales Experience
• High-volume telemarketing
• High-volume consumer products/industrial distribution order taking
• Customer Service in a high-call-volume environment Education Qualifications

High School diploma or GED required. Professional Certification

Certification/License from Covered California (California’s Health Exchange) to conduct Covered California and Medi-Cal Application is required. If not possessing a Certification at the time of hire, the candidate is required to obtain this Certification within 6 months after been hired. This Certification needs to be renewed annually through an annual certification process conducted by Covered California. Drivers License Required Valid California Driver’s License Preferred Knowledge Requirement

Knowledge of Medi-Cal and/or Covered California eligibility required. Knowledge of customer service and phone etiquette required. Expert knowledge regarding State Health Programs and the application and enrollment process. Skills Requirement

Skilled in data entry. Abilities Requirement

Superior time management and organization habits. Must be courteous, friendly and customer oriented. Must have the ability to multi-task in a high-pressure environment while maintaining a high level of performance. Must be an independent self-starter who effectively communicates parameters of a Health Program within the guidelines of a defined script. Ability to maintain professionalism and IEHP’s Mission serving our members when experiencing difficult calls. Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization. Working Conditions

Will work a normal (8 a.m. – 5 p.m. or 9 a.m. – 6 p.m.) workday, but work schedules and hours vary depending upon Marketing and Advertising meetings, promotions, and trainings. The Enrollment Specialist will be provided at least one week’s notice when a managerial change of a work schedule and/or hours is required.

Word processing and data entry involving computer keyboard and screens.

Position is eligible for telecommuting/remote work location model upon completing the necessary steps and receiving HR approval. The incumbent approved to telecommute periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs determined by IEHP leadership. Work Model Location Telecommute Physical Requirements Keyboarding: Traditional – FREQUENTLY Keyboarding: Touch-Screen – FREQUENTLY Keyboarding: 10-Key – FREQUENTLY Hearing: One-on-One – FREQUENTLY Communicate: Information/ideas verbally – FREQUENTLY Near Visual Acuity – FREQUENTLY Sitting – CONSTANTLY Lighting – CONSTANTLY Indoors – FREQUENTLY Regular contacts: co-workers, supervisor – FREQUENTLY Memory – FREQUENTLY Understand and follow direction – FREQUENTLY Regular and reliable attendance – CONSTANTLY

Starting Salary: $48,110.40 – $59,425.60

Pay rate will commensurate with experience

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 7,000 and a team of more than 2,500 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.

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