What are the responsibilities and job description for the Enrollment Specialist (Bilingual English/Spanish) - Remote position at IEHP?
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 an authentic 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.
Pay Range
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 an authentic 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
- 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.
- 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
Pay Range
- $23.98 USD Hourly - $30.57 USD Hourly
Salary : $24 - $31
