Specialist, Benefit Sales-Brooklyn, NY

Molina Healthcare•Brooklyn, NY

About The Position

The Specialist, Benefit Sales provides support for member enrollment activities for Molina health insurance products. The role identifies, interviews, and screens prospective eligible members; assists with health plan selection and enrollment; processes paperwork; and ensures documentation accuracy and follow-up. The Specialist also develops and maintains relationships with local community agencies, health care organizations, and county and state agencies that refer prospective members, and represents Molina at community outreach events to support enrollment efforts.

Requirements

At least two years of experience in health care and/or customer or provider services, including at least one year working with state and federal health insurance programs and populations, or an equivalent combination of relevant education and experience.
Hold a valid, unrestricted New York State of Health Certified Application Counselor ID (CAC), or be able to obtain certification within 30 days of hire.
Reliable transportation and a valid, unrestricted driver's license.
Interpersonal and customer service skills.
Data processing and proofreading 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 diverse populations, including people from different ethnicities and cultural backgrounds and/or underserved communities.
Ability to maintain confidentiality and comply with HIPAA.
Ability to establish and maintain positive, effective working relationships with coworkers, members, providers, and customers.
Effective verbal and written communication skills, including strong presentation skills.
Proficiency with Microsoft Office and applicable software programs.

Nice To Haves

Previous experience enrolling members in managed care programs or health insurance.
Bilingual Spanish and English.

Responsibilities

Meet monthly, quarterly, and annual member enrollment goals and growth targets.
Conduct inbound and outbound calls to interview, screen, and assist prospective eligible members with enrollment in qualified Molina health plans.
Meet prospective members at various sites within applicable communities.
Educate and support prospective members as they navigate the health care system, including assisting with applications, explaining requirements, and providing necessary documentation.
Explain applicable plan features and benefits, answer questions, and guide consumers through required disclosures.
Educate members about premium payment options and due dates.
Assist members with health plan and primary care physician selection.
Submit completed applications by state-specific deadlines and in accordance with Molina enrollment guidelines and requirements.
Help current members due for recertification complete annual applications, including adding other eligible family members.
Respond to prospective member inquiries in accordance with marketing guidelines.
Follow applicable health plan rules and regulations for member enrollment.
Participate in assigned events and community outreach projects with other agencies for a minimum of eight hours per week.
Establish and maintain working relationships with external partners, including hospitals, provider organizations, city agencies, and community-based organizations where enrollment activities take place.
Develop and strengthen relationships to generate new opportunities.
Attend community health fairs, events, and external meetings as required.
Attend occasional weekend or evening special events as needed.
Travel locally as required.