Facilitated Enroller - Benefit Sales Specialist (In Field Brooklyn, NY) at Molina Healthcare

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jun, 26

Salary

0.0

Posted On

10 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Enrollment Support, Health Insurance Sales, Member Screening, Community Outreach, Health Plan Selection, Paperwork Processing, Relationship Management, Inbound/Outbound Calls, Health Care System Navigation, Application Assistance, Plan Education, Recertification Assistance, Interpersonal Skills, Organizational Skills, Time Management, HIPAA Compliance

Industry

Hospitals and Health Care

Description

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts. Essential Job Duties • Meets monthly, quarterly, and annual member enrollment goals and growth targets. • Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans. • Meets with potential members at various sites within applicable communities. • Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation. • Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures. • Educates members on options to make premium payments, including due dates. • Assists members with plan and primary care physician selection. • Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements. • Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members • Responds to inquiries from prospective members according to marketing guidelines. • Adheres to health plan rules and regulations as applicable for member enrollment. • Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week. • Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted. • Develops and strengthens relationships in order to generate new opportunities. • Attends community health fairs, events and external meetings as required. • Attends occasional weekend or evening special events as needed. • Local travel required. Required Qualifications • At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience. • Completion of the New York State of Health Assistors (NYSOH) required training, certification and recertification required for the state of New York. • Must have reliable transportation and a valid driver's license with no restrictions. • Interpersonal/customer service skills. • Data processing and proofing experience. • Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines. • Positive attitude, and ability to adapt to change. • Knowledge of managed care insurance plans. • Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities. • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. • Effective verbal and written communication skills, including strong presentation skills. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Previous experience enrolling members into managed care programs/health insurance. • Bilingual – Spanish and English. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Responsibilities

This role involves providing support for member enrollment activities by identifying, interviewing, and screening prospective eligible members for health insurance products, and assisting them through the selection and enrollment process. Additionally, the specialist must develop and maintain relationships with local community and health care agencies to generate referrals and represent the organization at outreach events.