HCO Field Ops – Enrollment Service Representative

Job Title : Enrollment Service Representative I

In order to make an application, simply read through the following job description and make sure to attach relevant documents.

Job ID : 64126

Location : Los Angeles, California

What you will be doing :

Conducts face-to-face outreach and enrollment broker services to beneficiaries in a groupand individual presentations.

Presents Managed Care Options to beneficiaries and assists them in using their health care plans.

Assists beneficiaries in the enrollment / disenrollment process.

Assists other Enrollment Service Representatives with daily management duties.

Assists management with the training / guidance of new Enrollment Service Representative staff.

Maintains positive relationships with the county staff, community groups and HCO clients; conducts on-going training of HCO program to county staff.

Performs data entry for enrollment / disenrollments, as needed.

Transmits enrollment / disenrollment data to central processing facility operations in accordance with HCO policies and procedures.

Assists beneficiaries with medical exemptions and waiver inquiries.

Provides beneficiaries with status of enrollment / disenrollment, medical exemptions and waivers.

Documents daily activity accurately in Customer Relationship Management Database

Reviews knowledge base content for accuracy and makes recommendations for improvement.

Adheres to established procedures, performs self-checking and pay attention to detail in the performance at work.

Meets Field Operations minimum performance standards.

Notifies management in a timely manner of any problems with procedural compliance using established processes.

Reports observed quality problems and deficiencies in a timely manner.

Makes recommendations to management for improving the quality and efficiency of work.

Meets Production and Quality Assistance goals as defined for this position.

Ability to work any and all assigned offices as directed by management.

Ability to attend and promote the program during community events and health fairs as needed.

Meets all standards established for this position as outlined in the attached performance criteria.

Performs other duties as may be assigned by management.

What you must have :

• High School diploma, GED, or equivalent certification;
• knowledge of the community to be served;
• Computer literacy;
• ability to work with MS Office (Excel, Word, PowerPoint);

ability to quickly learn new software programs.

• Type 20+ wpm;
• ability to travel (valid CA driver’s license and evidence of insurance required) throughout the county and surrounding counties as needed, in a dependable and punctual manner;
• excellent organizational, interpersonal, written, and verbal communication skills;
• ability to perform comfortably in a fast-paced, deadline-oriented work environment;
• ability to successfully execute many complex tasks simultaneously;

ability to work as a team member, as well as independently; and fluency in threshold languages including reading and writing ability.

Preferred qualifications include :

six months of human services experience dealing with the public.

Presentation and / or public speaking experience (teaching, marketing, community outreach and education, or public relations experience).

Experience working with low-income and diverse populations;

Capable of presenting the required information and materials interactively and in a culturally and linguistically competent manner that readily lends itself to comprehension and retention by beneficiary being served.

Salary / Rate Range : $16.75 $20.00 / hour

For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com

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