Part Time Enrollment Specialist

Pay rate : $20 / hour

Hours : Monday to Friday, 8am to 5pm PST

Project : CA HCO

Job Title : Part Time Enrollment Service Representative (ESR)

JOB RESPONSIBILITIES :

Conducts face-to-face outreach and enrollment broker services to beneficiaries in a group

and 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.

ESSENTIAL PHYSICAL AND MENTAL FUNCTIONS :

Must be able to remain in a stationary position for an extended period of time

Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds

JOB ENVIRONMENT :

Work is constantly performed in an office environment.

Develop working relationships with customers and monitor engagement and progress.

• Work with customers on a regular basisto meet and achieve program goals and / or maintain program services and eligibility.
• Conduct workshops and other training related services for customers.
• Exhibit considerable programmatic knowledge and assist customers in multiple phases of the application process, ranging from enrollment through the awarding of benefits and services.
• Assist customers to acquire services that facilitate program goals (e.g., educational and / or vocational training, medical, child care, transportation, substance abuse / mental health, child support establishment, legal, and other related needs).
• Follow up with customers to ensure that their needs are met and questions and concerns are resolved.
• Interact with other team members to provide expertise and assistance in resolving participant issues.
• Maintain accurate and timely case notes on all customer contacts and document activities.
• Share information about outreach and engagement efforts with project staff.
• Informproject staffof any barriers that they identify and that are preventing the customer from engaging with the Provider

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.