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Enrollment Specialist (Multiple Remote Positions)
Company | IEHP |
Address | Rancho Cucamonga, CA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-08-15 |
Posted at | 9 months ago |
Job Requisition ID:9614
- Qualify candidates by calculating their household income and by using other approved qualification methods and worksheets.
- Strive to live and practice IEHP’s Mission, Vision and Values (MVV) every day, and strongly commit to advance the organization’s strategic plan.
- Consistently meet or exceed daily, weekly, and monthly quotas for providing screening and/or application assistance, for inbound and outbound calls.
- Assist in the development and training of new Enrollment Specialists, as needed.
- Participate in planning discussions and meetings. Assist in providing input in quality improvement processes and tactical plans to support outreach, enrollment, and retention goals.
- Communicate with Members utilizing translation applications/programs via applicable devices when candidates speak other languages and/or have a disability.
- Provide excellent customer service during telephone screening and/or application assistance for Covered California, Medi-Cal, and other state health programs including conducting outbound sales campaigns to Members and the public.
- Document all calls in detail to create a recorded history for future interaction with each Member with Customer Relationship management (CRM) database. Present cases and work with a manager in resolving potential Member issues.
- Advise candidates of the documentation required to complete the application and answer questions and issues about the enrollment process.
- Complete all assigned reports or documentation to facilitate the successful enrollment into a designated program to include qualification worksheets, applications, appropriate letters, instructions to potential candidates and daily/weekly activity reports.
- Provide Member guidance of key health plan benefits related to a Covered California and Medi-Cal plan
- Outreach to auto-enrolled Covered California Members to help effectuate membership.
- Respond to all incoming and outgoing mail and complete other administrative unit duties assigned.
- As appropriate, complete applicable application form, while the customer is on the phone, then provide instruction for all related follow-up procedures and processes.
- Provide in person assistance and/or application completion to any potential Member who walks in and requests enrollment assistance, application completion and/or information.
- Customer Service in a high-call-volume environment
- High-volume consumer products/industrial distribution order taking
- In-house sales
- Outreach, Enrollment and Retention
- Outbound Sales Experience
- High-volume telemarketing
- Medi-Cal and/or Covered California eligibility
- Customer service and phone etiquette
- State Health Programs and the application and enrollment process.
- Both Open and Special Enrollment Period eligibility requirements.
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