![APLA Health](https://media.trabajo.org/img/noimg.jpg)
Enrollment Specialist I
2 months ago
Job Location
APLA Health Center, Long Beach - Long Beach, CA
Position Type
Full Time
Education Level
GED
Salary Range
$25.60 - $28.43 Hourly
Travel Percentage
Up to 25%
Job Shift
Day
Job Category
Health Care
Description
POSITION SUMMARY:
Under the direction of the Enrollment & Eligibility Manager, and in accordance with HRSA contract requirements, the Enrollment Specialist I assists clients, either directly or through referral, with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, and MHLA, as well as with the process of accessing Public Benefits.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Screen clients using PointCare for eligibility in and assist with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, MHLA, commercial products, Ryan White, ADAP, and PrEP-AP as well as with the process of accessing Public Benefits.
- Serve as the APLA Health & Wellness point of contact for addressing issues related to health plans that are part of independent physicians associations (IPAs) that APLAHW contracts with, including, but not limited to Health Care LA IPA and Regal Medical Group.
- Documents contacts and maintains files, utilizing Point Care for enrollment allowing them to accurately qualify and enroll patients into coverage, faster.
- Stays current with APLA Health programs.
- Follow up to verify the status of enrollment applications and assist clients who are experiencing problems.
- Complete a comprehensive benefits and qualified health insurance assessment for each client.
- Maintain and update all client records via eClinicalWorks electronic health record system and reviews to verify and ensure data entered are accurate.
- Answer and respond to incoming telephone calls and emails regarding eligibility in qualified health plans and Public Benefits according to agency policy.
- Describe what a summary of benefits document is and where to locate a summary of benefits. Explain where to find information about provider networks.
- Collaborate with other programs at APLA Health & Wellness and other service organizations to facilitate the provision of services.
- Maintain an extensive awareness of client resources, both agency-wide and Federally Qualified community based healthcare organization (FQHC).
- Prepare reports and client records as required to meet APLA Health & Wellness, city, state, and federal program requirements.
- Follow agency policies and maintain agency standards with regards to client confidentiality and HIPAA compliance.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
Qualifications
REQUIREMENTS:
Training and Experience:
A high school diploma and 1 year experience in benefits enrollment. Must be trained as a Medi-Cal Enroller, Covered CA Certified Enrollment Counselor (CEC) and ADAP/OA HIPP/PrEP-AP Enroller or acquire these certifications within six (6) months of hire. A proficiency in writing, proofreading and grammar skills is important, as well as interpersonal customer service skills. Bilingual Spanish/English required.
Knowledge of:
Interviewing and assessment techniques; vocational rehabilitation and/or related occupational fields, knowledge of word processing and eClinicalWorks electronic health records data entry; HIV disease and related chronic illness and disability issues; comprehensive understanding of public benefits programs and policies; qualified health plans, including, but not limited to Covered CA, Medi-Cal, Medicare, My Health LA, and Ryan White. Must have knowledge of the healthcare field.
Ability to:
Work under minimal supervision; assess psychosocial and occupational/vocational needs; utilize agency and community resources; communicate effectively (orally and in writing) in both one-on-one and public settings; respond with empathy to the needs of clients, staff and volunteers; participate as a member of a team operating in a diverse, multi-cultural environment.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
Work under minimal supervision; assess psychosocial and occupational/vocational needs; utilize agency and community resources; communicate effectively (orally and in writing) in both one-on-one and public settings; respond with empathy to the needs of clients, staff and volunteers; participate as a member of a team operating in a diverse, multi-cultural environment.
SPECIAL REQUIREMENTS:
Must possess a valid California driver's license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID 19 vaccination and Booster or Medical/Religious exemption required.
Equal Opportunity Employer: minority/female/disability/transgender/veteran.
-
Marketplace Enrollment Specialist
1 week ago
Long Beach, California, United States Molina Healthcare Full timeJob OverviewPosition SummaryThe Marketplace Enrollment Specialist plays a crucial role in identifying individuals who lack health coverage and guiding them through the enrollment process, facilitating their access to necessary healthcare services. This position involves conducting interviews and assessing potential candidates for enrollment in Government...
-
Enrollment Specialist
1 month ago
Long Beach, United States Experiential Group Full timeJob DescriptionJob DescriptionAt Experiential, We partnered with the Federal Lifeline Program to make communication tools accessible to low-income households. Our Entry Level Enrollment Specialist plays an integral part in allowing families to better navigate tough times when the unexpected happens. As an Entry LeveL Enrollment Specialist, you will assist...
-
Enrollment Specialist
3 months ago
Long Beach, United States Experiential Group Full timeJob DescriptionJob DescriptionAt Experiential, We partnered with the Federal Lifeline Program to make communication tools accessible to low-income households. Our Entry Level Enrollment Specialist plays an integral part in allowing families to better navigate tough times when the unexpected happens. As an Entry LeveL Enrollment Specialist, you will assist...
-
Medical Enrollment Specialist
1 week ago
Long Beach, California, United States Food Allergy Institute Full timeJob OverviewPosition Title: Inside Medical Sales (Enrollment Specialist)Company: Food Allergy InstituteEmployment Type: Full Time; Non-Exempt; M-F 8:00AM-5:00PM (Onsite)Compensation: $20-$25 per hour + Monthly bonus incentiveAbout UsThe Food Allergy Institute (FAI) is a pioneering research and clinical care center dedicated to transforming food allergy...
-
Enrollment Specialist in Medical Sales
1 week ago
Long Beach, California, United States Food Allergy Institute Full timeJob OverviewPosition Title: Inside Medical Sales (Enrollment Specialist)Company: Food Allergy InstituteEmployment Type: Full Time; Non-Exempt; M-F 8:00AM-5:00PM (Onsite)Compensation: $20-$25 per hour + Monthly bonus incentiveAbout UsThe Food Allergy Institute (FAI) is a pioneering research and clinical care center dedicated to transforming food allergy...
-
Enrollment Specialist in Medical Sales
1 week ago
Long Beach, California, United States Food Allergy Institute Full timeJob OverviewPosition Title: Inside Medical Sales (Enrollment Specialist)Company: Food Allergy InstituteWork Schedule: Full Time; Non-Exempt; Monday to Friday, 8:00 AM - 5:00 PM (Onsite)Compensation: $20 - $25 per hour plus monthly performance bonusesAbout UsThe Food Allergy Institute (FAI) is a pioneering research and clinical care center dedicated to...
-
Senior Care Enrollment Specialist
1 week ago
Long Beach, California, United States WelbeHealth Full timeThe WelbeHealth PACE initiative is dedicated to assisting seniors in remaining in their homes and communities by delivering comprehensive healthcare and community-based services. Our mission is to provide the most vulnerable seniors with enhanced quality and compassion within a value-driven framework. The Senior Care Enrollment Specialist plays a crucial...
-
Healthcare Enrollment Specialist
19 hours ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryThe Marketplace Facilitated Enroller (MFE) is a key member of our team at Molina Healthcare, responsible for identifying prospective members who do not have health insurance and assisting with the enrollment process. This role is crucial in making it easier for individuals to connect with the care they need.Key ResponsibilitiesConduct interviews...
-
Medi-Cal Enrollment Advisor
1 week ago
Long Beach, California, United States Blue Shield Of California Full timePosition OverviewThe Blue Shield of California Promise Health Plan is seeking a dedicated Enrollment and Retention Specialist. This role focuses on guiding and supporting individuals through the Medi-Cal enrollment process, ensuring they understand eligibility requirements and plan options.Key ResponsibilitiesProvide comprehensive education to callers...
-
Medi-Cal Enrollment Advisor
1 week ago
Long Beach, California, United States Blue Shield Of California Full timePosition OverviewThe Blue Shield of California Promise Health Plan is seeking a dedicated Enrollment and Retention Specialist to play a crucial role in guiding individuals through the Medi-Cal enrollment process. This position is essential for ensuring that potential members understand their eligibility and the various plan options available to them.Key...
-
Enrollment Specialist
7 days ago
Huntington Beach, United States Experiential Group Full time $48,000 - $58,000Job DescriptionJob DescriptionAt Experiential, We partnered with the Federal Lifeline Program to make communication tools accessible to low-income households. Our Entry Level Enrollment Specialist plays an integral part in allowing families to better navigate tough times when the unexpected happens. As an Entry LeveL Enrollment Specialist, you will assist...
-
Intake Assessment Specialist I
1 month ago
Long Beach, United States Tarzana Treatment Center Full timeJob DescriptionJob DescriptionPosition Title: Intake Assessment Specialist IPOSITION SUMMARYSeeking a full time Registered or Certified Counselor to join Intake and Assessment team for a residential SUD program in Long Beach. Candidates who have experience working with underserved populations are strongly encouraged to apply. Will work closely with a...
-
Enrollment Specialist/Marketing Manager
2 days ago
Myrtle Beach, United States The Learning Station Child Development Center Full timeJob DescriptionJob DescriptionSalary: $20-$25Job Title: Enrollment Specialist and Marketing ManagerLocation: The Learning Station, Myrtle Beach, South CarolinaJob Type: Full-TimeAbout Us: The Learning Station is a nurturing and dynamic environment dedicated to providing high-quality early childhood education. We are seeking a motivated and experienced...
-
Appeals Specialist I
3 months ago
Long Beach, United States Morgan Stephens Full timeJob Title: Appeals Specialist ILocation: 100% RemotePay: Up to $20.00/hrTime Zone Requirements: Preferably MT/PT zone. Job Type: Full-TimeSchedule: 8:00 a.m. to 5:00 p.m. in the candidate's time zone. Overview: The Appeals Specialist I is responsible for reviewing and resolving member and provider complaints and communicating resolutions to members and...
-
Enrollment Coordination Specialist
1 week ago
West Palm Beach, Florida, United States Ultimate Staffing Full timePosition Overview for Training Administrative Professional:Educational Background:Candidate should possess a minimum of an Associate degree or equivalent professional experience in office management.Professional Experience:At least 2 years of relevant office experience is required.Technical Proficiencies:Demonstrated expertise in Training, Enrollment,...
-
Appeals Specialist I
4 days ago
Long Beach, California, United States Morgan Stephens Full timeAbout Morgan StephensMorgan Stephens is a leading healthcare organization dedicated to providing exceptional service to our members. We are seeking a highly skilled Appeals Specialist I to join our team.Job SummaryThe Appeals Specialist I will be responsible for reviewing and resolving member and provider complaints in accordance with CMS standards. This...
-
Verizon 5G Enrollment Specialist
1 week ago
Redondo Beach, California, United States HRO Inc Full timeVerizon Customer Enrollment RepresentativeHRO Inc is in search of a committed and client-oriented professional to spearhead our Sales Division for a leading client, focusing on the rollout of Verizon 5G Home services. In the role of Verizon Customer Enrollment Representative, you will interact with homeowners to present innovative products, manage order...
-
Enrollment Services Consultant
1 week ago
West Palm Beach, Florida, United States US Health Services Full timeOpen Enrollment SpecialistAs an Open Enrollment Specialist at US Health Services, you will play a crucial role in enhancing the lives of self-employed individuals and small business owners throughout the nation. Our organization is committed to delivering accessible benefits and business solutions to clients seeking reliable options in today's economic...
-
Customer Engagement Specialist
1 week ago
Long Beach, California, United States Mela Group, Inc. Full timePosition OverviewThe Customer Engagement Specialist plays a crucial role in facilitating outreach enrollment processes. This position serves as the primary liaison for customer inquiries and concerns, ensuring a high level of satisfaction.Key ResponsibilitiesAddress and resolve customer inquiries related to enrollment.Act as the main point of contact for...
-
Customer Engagement Specialist
1 week ago
Long Beach, California, United States Mela Group, Inc. Full timePosition OverviewThe Customer Engagement Specialist plays a vital role in ensuring effective communication and support for outreach enrollment initiatives. This position serves as the primary point of contact for client inquiries and concerns, facilitating a smooth experience for all customers.Key ResponsibilitiesProvide exceptional customer support related...