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Health Plan Enrollment Representative

  • Job ID 2005020950
  • Date posted 07/07/2020
  • Facility Conifer Health Solutions
Description:

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

JOB SUMMARY

The Health Plan Enrollment Representative will be responsible for screening, assessing and assisting individuals with a variety of health related programs and other support services such as Medi-Cal, CalFresh, perform physician referrals and link families to other community resources. Responsibilities may include, however are not limited to, the completion of electronic or paper applications to establish eligibility including enrollment through the Marketplaces offered through the Affordable Care Act without regard to insurance plan preferences. This role will provide information to those seeking assistance in an accurate, fair and impartial manner.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Assist consumers by providing information regarding various health related programs and support services as well as provide guidance and application enrollment assistance in qualified health plans that are offered through the marketplace/exchanges.

  • Provide enrollment and education assistance support at hospital sponsored outreach events.

  • Answer all correspondence (phone, email, mail, etc.) directed to the Rep. in a timely fashion.

  • Maintain accurate reporting data to track service performance




Qualifications:

POSITION: KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Strong written and verbal communication skills to effectively interact with patients, hospital staff personnel and individual healthcare consumers

  • Ability to develop strong relationships with key stakeholders, including but not limited to patients, hospital administration/staff and the general public

  • Provide outstanding customer service to all patients, hospital staff, co-workers and all other healthcare consumers

  • Knowledge of government programs eligibility and hospital registration processes

  • Knowledge of rules and regulations pertaining to Federal, State and County programs

  • Knowledge of and adherence to all privacy and security rules.
  • Strong PC skills, including Microsoft Office experience.

  • Must be motivated, a self-starter, reliable and team player, work independently.

  • Ability to prioritize and manage multiple tasks with efficiency

  • Must embrace company vision, mission & values and demonstrate understanding of Conifer culture

EDUCATION / EXPERIENCE

  • High school diploma required

  • Bilingual (Spanish) a plus
  • Some college with or equivalent of at least 2 years of professional experience in patient advocacy, social work, government program eligibility, healthcare customer service or related discipline preferred

  • Working knowledge of healthcare plan products (E.G. Aetna, BC/BS, Coventry, Anthem, etc)

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work in sitting position, use computer and answer telephone

  • Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

  • Ability to lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision

  • Ability to travel within assigned market, as required
WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Position will be located in a hospital, hospital business office or medical office environment, in direct contact with patients and hospital staff

  • Must be able to work in a fast paced environment
OTHER
  • Must be able to pass CMS Certified Application Counselor training course and exam

  • Must be able to pass background check as defined by federal and state requirements for Certified Application Counselors

  • Responsible for all other duties as assigned
  • Must have a valid driver s license and auto insurance

Job: Conifer Health Solutions
Primary Location: Phoenix, Arizona
Job Type: Full-time
Shift Type: Evening
If Other Shift, Specify: Sunday-Thursday
Shift Begin: 3:00 PMShift End: 11:30 PM