Eligibility and Enrollment Specialist

Gainwell Technologies LLC•Any city, OH

1d•$26,500 - $37,800•Remote

About The Position

As a Eligibility and Enrollment Specialist at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Requirements

Minimum of 2 years of experience in the insurance industry, healthcare, or government-sponsored health insurance, including customer service and medical billing knowledge, or similar math-related experience.
Minimum of 2 years of phone-based experience, including making outbound inquiries and handling inbound calls.

Nice To Haves

Call center experience preferred.
Human Resources or health insurance experience preferred.
Bilingual skills preferred.
Knowledge of healthcare terminology is a plus.

Responsibilities

Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
Verify, document, and investigate the presence of health care coverage for Medicaid recipients and their families.
Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
Complete periodic reports.
Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
Data entry to include accurate and timely entry of information.
Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.