Facilitated Enroller - Benefit Sales Specialist (In Field - Westchester, NY)
Job Overview
Employment Type
Full-time
Hourly
Compensation
Hourly
Exact $18.04
Work Schedule
Standard Hours
Weekend Shifts
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Paid holidays
Retirement Plan
Business casual dress
Local travel reimbursement
Job Description
Molina Healthcare is a leading managed care organization committed to providing high-quality health insurance products and services to underserved communities. As a dedicated entity in the healthcare industry, Molina Healthcare partners with state and local agencies to offer affordable and accessible health plans to eligible populations. Known for its community-oriented approach, Molina Healthcare continuously strives to improve health outcomes by making healthcare navigation easier for its members. With a strong presence in multiple states, the company prioritizes outreach, education, and member support to ensure that individuals and families can access the benefits they deserve. The organization values diversity, inclusion, and collaboration, fostering an environment where employees can grow and contribute to meaningful health initiatives. Molina Healthcare offers competitive compensation and a comprehensive benefits package, reflecting its commitment to employee well-being and satisfaction.
The Member Enrollment Specialist role at Molina Healthcare is a vital position focused on supporting enrollment activities that connect eligible individuals with appropriate health insurance plans. This hourly position offers a pay range of $18.04 to $42.20, reflecting geographic location, experience, education, and skill level. The specialist plays a key role in interviewing, screening, and assisting potential members through the enrollment process, ensuring documentation accuracy and timely submissions. Not only does this role require direct interaction with prospective members across various community sites, but it also involves maintaining and developing relationships with local community agencies, healthcare providers, and governmental organizations. The enrollment specialist educates members on plan options, premium payment methods, and assists with primary care physician selection, thereby simplifying healthcare system navigation. Additionally, this role requires participation in community outreach events and health fairs to promote enrollment efforts, involving some local travel and occasional evening or weekend commitments.
Success in this position demands strong interpersonal skills, attention to detail, and the ability to work independently within organized deadlines. The candidate must comply with state training and certification requirements, including the New York State of Health Assistors certification for roles based in New York. Knowledge of managed care insurance plans, familiarity with HIPAA regulations, and proficiency in Microsoft Office and relevant software are essential. Diverse cultural competency is crucial, as the role involves working with a wide range of populations, including underserved and multicultural communities. Preferred qualifications include previous experience in managed care enrollment and bilingual abilities, specifically in Spanish and English. Overall, this role is an excellent opportunity for individuals passionate about making a positive impact in healthcare access and member support within a respected healthcare organization.
The Member Enrollment Specialist role at Molina Healthcare is a vital position focused on supporting enrollment activities that connect eligible individuals with appropriate health insurance plans. This hourly position offers a pay range of $18.04 to $42.20, reflecting geographic location, experience, education, and skill level. The specialist plays a key role in interviewing, screening, and assisting potential members through the enrollment process, ensuring documentation accuracy and timely submissions. Not only does this role require direct interaction with prospective members across various community sites, but it also involves maintaining and developing relationships with local community agencies, healthcare providers, and governmental organizations. The enrollment specialist educates members on plan options, premium payment methods, and assists with primary care physician selection, thereby simplifying healthcare system navigation. Additionally, this role requires participation in community outreach events and health fairs to promote enrollment efforts, involving some local travel and occasional evening or weekend commitments.
Success in this position demands strong interpersonal skills, attention to detail, and the ability to work independently within organized deadlines. The candidate must comply with state training and certification requirements, including the New York State of Health Assistors certification for roles based in New York. Knowledge of managed care insurance plans, familiarity with HIPAA regulations, and proficiency in Microsoft Office and relevant software are essential. Diverse cultural competency is crucial, as the role involves working with a wide range of populations, including underserved and multicultural communities. Preferred qualifications include previous experience in managed care enrollment and bilingual abilities, specifically in Spanish and English. Overall, this role is an excellent opportunity for individuals passionate about making a positive impact in healthcare access and member support within a respected healthcare organization.
Job Requirements
- at least 2 years of experience in health care and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience
- completion of the New York State of Health Assistors (NYSOH) required training, certification and recertification required for the state of New York
- must have reliable transportation and a valid driver's license with no restrictions
- interpersonal/customer service skills
- data processing and proofing experience
- attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines
- positive attitude, and ability to adapt to change
- knowledge of managed care insurance plans
- ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities
- ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA)
- ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers
- effective verbal and written communication skills, including strong presentation skills
- Microsoft Office suite and applicable software programs proficiency
Job Qualifications
- previous experience enrolling members into managed care programs/health insurance
- bilingual – Spanish and English
Job Duties
- meets monthly, quarterly, and annual member enrollment goals and growth targets
- facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans
- meets with potential members at various sites within applicable communities
- provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation
- identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures
- educates members on options to make premium payments, including due dates
- assists members with plan and primary care physician selection
- submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements
- identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members
- responds to inquiries from prospective members according to marketing guidelines
- adheres to health plan rules and regulations as applicable for member enrollment
- participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week
- establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted
- develops and strengthens relationships in order to generate new opportunities
- attends community health fairs, events and external meetings as required
- attends occasional weekend or evening special events as needed
- local travel required
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
Your Profile Is Visible To Hiring Managers Across OysterLink.
We'll match you with best jobs
Get job offers faster
Search For More Opportunities:
How Candidates Get Hired Faster
Apply to 2–3 similar roles
Complete profile & get best matches
Check new opportunities daily
