Healthcare Enrollment Specialist

6 days ago


Long Beach, California, United States Molina Healthcare Full time
Job Summary

The 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 Responsibilities
  • Conduct interviews and screens to identify potentially eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus, and Essential Plan.
  • Assist in enrollment into Qualified Health Plans, ensuring that all plans and products are offered.
  • Provide information on managed care programs and how to access care, ensuring that families have the necessary support to make informed decisions.
  • Process paperwork completely and accurately, including follow-up visit documentation and other necessary reports.
  • Assist current members with recertification with their plan, ensuring a seamless experience.
  • SOURCE, DEVELOP, AND MAINTAIN PROFESSIONAL, CONGENIAL RELATIONSHIPS WITH LOCAL COMMUNITY AGENCIES, AS WELL AS COUNTY AND STATE AGENCY PERSONNEL WHO REFER POTENTIALLY ELIGIBLE RECIPIENTS.
Requirements
  • 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 and maintain a high level of productivity.
  • Excellent written and oral communication skills, with strong presentation skills.
  • Basic computer skills, including Microsoft Word and Excel.
  • Strong interpersonal skills, with the ability to work with a diverse population.
  • A positive attitude, with the ability to adapt to change.
  • Reliable transportation and a valid NYS driver's license with no restrictions.
  • Knowledge of Managed Care insurance plans.
  • Ability to work a flexible schedule, including nights and weekends.


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