Facilitated Enroller (In Field - Brooklyn, NY)

Molina Healthcare; San Diego; Presencial; VES 450.000 - 675.000; Jornada completa

Descripción de la vacante

A healthcare organization in Venezuela is seeking a Marketplace Facilitated Enroller to assist individuals with health insurance enrollment, conduct interviews, and educate them about available plans. The ideal candidate should have experience with state health programs, strong communication skills, and be able to work in diverse communities. A valid driver's license is required, and the role may require evening or weekend availability. Competitive benefits and compensation are offered.

Servicios

Competitive benefits and compensation

Equal Opportunity Employer (EOE)

Formación

• Minimum one year of experience with State and Federal Health Insurance programs.
• Ability to work with diverse populations.
• Must have reliable transportation and a valid NYS driver's license with no restrictions.

Responsabilidades

• Assist prospective members with enrollment process into health programs.
• Conduct interviews and screen for eligibility.
• Meet monthly enrollment goals.
• Educate individuals on health insurance options.

Conocimientos

Organizational skills

Time management

Written and oral communication

Presentation skills

Interpersonal skills

Computer skills (Microsoft Word/Excel)

Positive attitude

Ability to adapt to change

Educación

HS Diploma

AA/AS – Associates degree

Descripción del empleo

JOB DESCRIPTION

Job Summary

The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus and Essential Plan. Additionally, the MFE will assist in enrollment into Qualified Health Plans. The MFE must offer all plans and all products. MFEs assist families with their applications, provides assistance with completing the application, gathers the necessary documentation, and assists in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The MFE is responsible for processing paperwork completely and accurately, including follow up visit documentation and other necessary reports. The MFE is also responsible for assisting current members with recertification with their plan. MFEs must source, develop and maintain professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients.

Knowledge/Skills/Abilities

• Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management.
• Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area
• Meet with consumers at various sites throughout the communities
• Provide education and support to individuals who are navigating a complex system by assisting consumers with the application process, explaining requirements and necessary documentation
• Identify and educate potential members on all aspects of the plan including answering questions regarding plan's features and benefits and walking client through the required disclosures
• Educate members on their options to make premium payments, including due dates
• Assist clients with choosing a plan and primary care physician
• Submit all completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements
• Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification application including adding on additional eligible family members
• Respond to inquiries from prospective members and members within the marketing guidelines
• Must adhere to all NYSOH rules and regulations as applicable for MFE functions
• Outreach Projects
• Participate in events and community outreach projects to other agencies as assigned by Management for a minimum of 8 hours per week
• Establish and maintain good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted
• Develop and strengthen relations to generate new opportunities
• Attend external meetings as required
• Attend community health fairs and events as required
• Occasional weekend or evening availability for special events.

Job Qualifications

Required Education

HS Diploma

Required Experience

• Minimum one year of experience working with State and Federal Health Insurance programs and populations
• Demonstrated organizational skills, time management skills and ability to work independently
• Ability to meet deadlines
• Excellent written and oral communication skills; strong presentation skills
• Basic computer skills including Microsoft Word and Excel
• Strong interpersonal skills
• A positive attitude with ability to adapt to change
• Must have reliable transportation and a valid NYS drivers' license with no restrictions
• Knowledge of Managed Care insurance plans
• Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities
• Ability to work a flexible schedule, including nights and weekends

Required License, Certification, Association

Successful completion of the NYSOH required training, certification and recertification

Preferred Education

AA/AS – Associates degree

Preferred Experience

Previous experience as a Marketplace Facilitated Enroller • Bilingual – Spanish & English

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.