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Molina Healthcare · 1 day ago

Facilitated Enroller - Benefit Sales Specialist (In Field - Bronx, NY)

Bronx, NY

Full-time

Onsite

Entry Level

$18.04/hr - $42.20/hr

1+ years exp

Molina Healthcare is seeking a Marketplace Facilitated Enroller (MFE) responsible for assisting uninsured individuals with the enrollment process into various health insurance programs. The MFE will conduct interviews, gather documentation, and help clients navigate their options for health coverage.

Health CareHospitalMedical

Responsibilities

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 complex system by assisting consumers with the application process, explaining requirements and necessary documentation

Identify and educate potential members on all 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 make premium payments, including due dates

Assist clients with choosing a plan and primary care physician

Submit all completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements

Responsible for identifying and assisting current 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 within the marketing guidelines

Must adhere to all NYSOH rules and regulations as applicable for MFE functions

Outreach Projects

Participate in events and community outreach 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

Develop 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

Qualification

Health Insurance ProgramsEnrollment Process AssistanceManaged Care KnowledgeOrganizational SkillsCommunication SkillsInterpersonal SkillsBasic Computer SkillsBilingual - Spanish & EnglishPositive AttitudeFlexible Schedule