Senior Enrollment Representative

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Senior Enrollment Representative maintains up-to-date knowledge of HomeFirst Managed Long Term Care Plan (MLTCP) and Elderplan MAP & FIDA plans. Senior Enrollment Representative conducts business with prospects and LHCSA/FI business partners successfully over the phone, ensures quaility customer service, and leads in the oversight of these business partner's referral outcomes. Collaborates directly with LHCSA/FI business partners, bridging communication between LHCSA/FI, Business Enrollment, Sales, & Clinical Enrollment teams to clear enrollment barriers, maximize referral yield, and ensure customer satisfaction. Assists the Enrollment Representative Supervisor in the oversight of reports that help delineate the timeframes and quality of HomeFirst's referral outcomes. Works closely with the Enrollment Representative Supervisor to ensure high quality performance and data accuracy for the purposes of management and reporting, particularly external reports shared with LHCSA/FI business partners.

• High School Diploma or GED required
• Associate's Degree, preferred
• 2-3 years' experience in a health-related field or commensurate experience in Managed Care with a concentration in Medicaid/Medicare eligibility, preferably with the geriatric population
• Familiarity with Medicaid/Medicare concepts, procedures, and enrollment practices, preferred
• Demonstrates excellent written and oral communication skills, time management, presentation skills, flexibility, and ethical conduct
• Demonstrates critical-thinking and problem-solving skills
• Demonstrates an ability to initiate and self-direct daily activities
• Demonstrates good judgment
• Demonstrates a sense of urgency
• Secures relevant information to identify potential problems, while appropriately escalating issues and making recommendations for solutions
• Bilingual skills preferred (Spanish, Cantonese, Mandarin, Russian)