Specialist, Benefit Sales - In Field New York, NY - Manhattan (Facilitated Enroller)

Job Summary

Essential Job Duties

• Mets 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.
• Edits and 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.
• Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire.
• 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.