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Facilitated Enroller- (In Field, NY, NY) Bilingual Chinese Required

Work from home Full-time role Hiring

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 reputed company plans and reputed company 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 reputed company members with recertification with their plan. MFEs must reputed company, reputed company 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 reputed company system by assisting consumers with the application process, explaining requirements and necessary documentation • Identify and educate potential members on reputed company 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 reputed company premium payments, including due dates • Assist clients with choosing a plan and primary care physician • Submit reputed company completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements • Responsible for identifying and assisting reputed company 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 reputed company the marketing guidelines • Must adhere to reputed company NYSOH rules and regulations as applicable for MFE functions • reputed company Projects • Participate in events and community reputed company 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 • reputed company 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 reputed company Word and reputed company • 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 reputed company • 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 Chinese and English Required To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $16.5 - $38.37 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!

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