Serene Health · 13 hours ago
Enrollment Specialist
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. The Healthcare Representative is responsible for making outbound calls to eligible health plan members to confirm eligibility and enroll them into available health benefits.
Health CareHospitalMental HealthTherapeutics
Responsibilities
Make outbound calls daily to existing lists of potential or eligible health plan members to support benefit enrollment
Confirm eligibility status and onboard health plan members for additional benefits
Ensure daily, weekly, and monthly productivity goals are met
Discuss new health plan benefits with members and their family/support persons
Navigate and utilize multiple health plans’ EMR system
Treat members with empathy and respect, adhering to their religious and cultural preferences
Assist the care coordination team with developing health interventions and interacting with involved departments to expedite scheduling and completion of health care consult
Comply with organizational guidelines, healthcare laws, and regulations, including HIPAA by fostering nursing practices that adhere to the nursing division’s standards of care
Maintains quality service by enforcing organization standards
Perform other duties as assigned
Qualification
Required
High school diploma or GED required
Minimum of 1 year of sales experience required
Excellent communication, interpersonal, customer service, and organizational skills
Proficient computer skills and experience with Microsoft Office
Maintain empathy and professionalism while contacting members and families
Prolonged periods sitting at a desk and working on a computer
Must be able to lift up to 10 pounds at times
Preferred
Bachelor's degree preferred
Healthcare experience is preferred
Bilingual in English and Spanish preferred
Benefits
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.