Enrollment Specialist (Bilingual English/Spanish) - Remote

Inland Empire Health Plans; Rancho Cucamonga (CA); Remote; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking organization dedicated to healing and inspiring the human spirit! As an Enrollment Specialist, you'll play a vital role in providing application assistance to uninsured individuals, guiding them through the Medi-Cal and Covered California processes. This position offers a fulfilling opportunity to make a difference in people's lives while enjoying competitive benefits and a supportive work environment. If you're passionate about customer service and have a knack for sales, this could be the perfect role for you. Start your journey towards a thriving future and apply today!

Benefits

Competitive salary

CalPERS retirement

On-site fitness center

Medical, Dental, and Vision Insurance

Life and disability insurance

Career advancement opportunities

Wellness programs

Flexible Spending Account

457(b) option with contribution match

Paid life insurance for employees

Qualifications

• 3+ years in sales, telemarketing, or customer service.
• Certification from Covered California required within 6 months.

Responsibilities

• Provide full-service application assistance for Medi-Cal and Covered California.
• Conduct inbound and outbound sales calls to assist potential members.

Skills

Bilingual (English/Spanish)

Customer Service

Outbound Sales Experience

High-volume Telemarketing

Data Entry

Education

High School diploma or GED

Certification from Covered California

Job description

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to anauthentic experience!

Under the direction of the Enrollment Assistance 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 behalf the applicant. The Enrollment Specialist will follow-up on the submission to ensure the application is processed and a final decision is made on applicant's eligibility. The Enrollment Specialist will also outreach to auto-enrolled Covered California Members to help effectuate their membership. For newly enrolled Medi-Cal beneficiaries who want to enroll with IEHP, the Specialist will assist to complete a Health Plan Choice Form to be submitted for State 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 Enrollment Specialist will also support external off-site enrollment events upon request.

This is a Bilingual (English/Spanish) position. The Team Member in this role must take a language proficiency assessment and must receive a passing score.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary
• CalPERS retirement
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Education & Requirements

• 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
  • Outreach, Enrollment and Retention
• High School diploma or GED required
• 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 six (6) months after been hired
  • This Certification needs to be renewed annually through an annual certification process conducted by Covered California
• This is a bilingual position. Identified bilingual team members in this role must take a language proficiency assessment and must receive a passing score.

Key Qualifications

• Valid California Driver's License Preferred
• Knowledge of the following areas:
• Medi-Cal and/or Covered California eligibility
• Customer service and phone etiquette
• Expert knowledge in the following areas:
• State Health Programs and the application and enrollment process
• Both Open and Special Enrollment Period eligibility requirements
• Skilled in data entry
• Will work a normal (8 a.m. - 5 p.m. or 9 a.m. - 6 p.m.) workday with some weekends, but work schedules and hours may vary depending upon department needs and Renewal/Enrollment Periods
• 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

Start your journey towards a thriving future with IEHP and apply TODAY!