Specialist, Benefit Sales - In Field New York, NY - Manhattan (Facilitated Enroller)
On-siteNew York City, New York, United States or New York, United States
Job Summary
Conduct member enrollment activities by identifying, interviewing, and screening prospective eligible individuals for Molina health insurance products. Facilitate inbound and outbound calls to assist potential members with plan selection, application processes, and documentation accuracy. Meet monthly, quarterly, and annual enrollment targets while participating in community outreach events, health fairs, and meetings with external agencies. Provide education on plan features, premium payment options, and primary care physician selection, ensuring all submissions adhere to state-specific deadlines and HIPAA regulations. Submit completed applications and manage annual recertifications for current members.
Required Qualifications
- 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
- Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire
- 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
- Local travel required
Desired Qualifications
- Previous experience enrolling members into managed care programs/health insurance
- Bilingual – Spanish and English
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