Facilitated Enroller
Summary
| Title: | Facilitated Enroller |
|---|---|
| ID: | FE013 |
| Location: | Buffalo |
| Job Type: | Full-time |
| Date Posted: | 08/21/2018 |
| Openings: | 1 |
| Department: | Marketing |
Description
POSITION SUMMARY
The Facilitated Enroller (FE) is responsible for identifying prospective members that do not have health insurance and enroll them into one of the Plan’s products. The FE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid and Child Health Plus. Facilitated enrollers assist families with their applications, providing assistance with completing the application, gathering the necessary documentation and assist in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The Facilitated Enroller is responsible for processing paperwork completely and accurately, including follow up visits documentation and other necessary reports. The FE is also responsible for assisting current members by recertifying them into their plan. Maintains professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients.
ESSENTIAL JOB DUTIES/FUNCTIONS
OTHER FUNCTIONS AND RESPONSIBILITIES
- Attend regularly scheduled departmental meetings
- Position may require overtime hours, evenings and weekends
- Extensive travel throughout the service region is required
- Performs other duties as assigned.
MINIMUM REQUIREMENTS/LICENSES/CERTIFICATIONS
- AA/AS – Associates degree
- A minimum of two years’ experience as a facilitated enroller
- Demonstrated organizational skills, time management skills and ability to work independently
- Ability to meet deadlines
- Excellent written and oral communication skills; strong presentation skills
- Basic computer skills including Microsoft Word and Excel
- Strong interpersonal skills
- Must have reliable transportation and a valid NYS drivers’ license with no restrictions
- Knowledge of Managed Care insurance plans
- Ability to work with a diverse population
The Facilitated Enroller (FE) is responsible for identifying prospective members that do not have health insurance and enroll them into one of the Plan’s products. The FE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid and Child Health Plus. Facilitated enrollers assist families with their applications, providing assistance with completing the application, gathering the necessary documentation and assist in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The Facilitated Enroller is responsible for processing paperwork completely and accurately, including follow up visits documentation and other necessary reports. The FE is also responsible for assisting current members by recertifying them into their plan. Maintains professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients.
ESSENTIAL JOB DUTIES/FUNCTIONS
|
% of Time
|
Essential Function |
80 |
Enrollment - Interview, screen and enroll potentially eligible recipients into Child Health Plus and refers Medicaid eligible recipients to the local Department of Social Services.
- Assist individuals with the application process by 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 - Assist clients with choosing a managed care plan and primary care physician - Submit all completed applications, adhering to submission deadline dates as imposed by NYS and Monroe Plan enrollment guidelines and requirements - Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing member's annual recertification application including adding on additional eligible family members - Conducts and documents membership welcome calls - Respond to inquiries from prospective members and members within the marketing guidelines |
20 |
Outreach Projects - Participate in any community outreach projects to other agencies as assigned by Management
- 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 in order to generate new opportunities - Attend community health fairs as required - Occasional weekend or evening availability for special events |
OTHER FUNCTIONS AND RESPONSIBILITIES
- Attend regularly scheduled departmental meetings
- Position may require overtime hours, evenings and weekends
- Extensive travel throughout the service region is required
- Performs other duties as assigned.
MINIMUM REQUIREMENTS/LICENSES/CERTIFICATIONS
- AA/AS – Associates degree
- A minimum of two years’ experience as a facilitated enroller
- Demonstrated organizational skills, time management skills and ability to work independently
- Ability to meet deadlines
- Excellent written and oral communication skills; strong presentation skills
- Basic computer skills including Microsoft Word and Excel
- Strong interpersonal skills
- Must have reliable transportation and a valid NYS drivers’ license with no restrictions
- Knowledge of Managed Care insurance plans
- Ability to work with a diverse population
PREFERRED QUALIFICATIONS
- Bilingual - Spanish & English
This opening is closed and is no longer accepting applications
