Enrollment Counselor - Health Coverage & Open Enrollment

CCHP Public Portal; San Francisco (CA); On-site; USD 33,000 - 34,000; Full time

Job summary

The Plan Based Enrollment Counselors help enroll new or existing members for renewal into the Covered California Program. The PBE educates customers on how the health care system is organized, what services are available to them, and provides enrollment referrals or assistance to public or private health/social services.

The PBE also serves as the Certified Application Assistor. The PBE transitions to ongoing administration of the terms in the agreements with Covered California and facilitates

Qualifications

• Two years customer service or enrollment assistance experience; prior managed care experience
• Previously Certified as a Certified Application Assistor, desirable
• Results and detail oriented self-starter
• Passionate about helping resolve customer health care system access issues
• Excellent oral communication, customer service and organizational skills
• Fluent and literate in English and Cantonese or Mandarin or Spanish desirable
• Cantonese or Spanish preferred

Responsibilities

• Understand and explain how health care is delivered in the community
• Prepare for Covered California certification to assist with enrollment activities
• Provide strong customer service and support to existing and potential clients
• Receive and handle inquiries by telephone, mail, and in person assistance for enrollment into the Covered California program
• Pre-screen and assist applicants for program eligibility determination and enrollment
• Coordinate with other team members as needed to assist customers
• Provide language assistance to people with limited English proficiency for enrollment and patient navigation
• Assist with carrying out Open Enrollment outreach activities
• Accepts and performs other duties as assigned

Skills

Customer Service

Job description

The Plan Based Enrollment Counselors help enroll new or existing members for renewal into the Covered California Program. The PBE educates customers on how the health care system is organized, what services are available to them, and provides enrollment referrals or assistance to public or private health/social services.

The PBE also serves as the Certified Application Assistor. The PBE transitions to ongoing administration of the terms in the agreements with Covered California and facilitates