Covered California Plan Based Enrollment Counselors - Chinese Community Health Plan - San Francisco, CA
The Plan Based Enrollment Counselors help enroll new or exisitng members for renewal into the Covered California Program. The PBE's educates customers on how the health care system is organized, what services are available to them and provides enrollment referrals or assistance to public or private health/social services. The PBE's also serves as the Certified Application Assistor. The PBE's transitions to ongoing administration of the terms in the agreements with Covered California and facilitates annual renewals.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Ability to understand and explain to customers how health care is delivered in the community.
2 Train Certified Enrollment Counselor trainees to prepare for qualification for Covered
California certification
3. Provides strong customer service and support to potential clients,
4. Receive and handle inquiries by telephone, mail, and in person assistance for enrollment into
the Covered California program
5. Pre-screening and assist applicants for the program eligibility determination and enrollment
6. Develop and maintain program policies and procedures for handling Covered California prospective, enrolled, and renewing customers.
7. Compile and report information on customer feedback and program effectiveness
8. Produce regular reports and data submissions as required by Covered California and Healthy
San Francisco programs
9. Maintain and enhance relationship with Covered California and Healthy San Francisco programs
10. Coordinate with other team members as needed to assist customers
11. Provide language assistance to people with limited English proficiency to help in patient
navigation (e.g. making doctor appointments, interpreting for physician offices, etc.)
12. Accepts and performs other duties as assigned.
QUALIFICATIONS
Associate degree preferredTwo years customer service or enrollment assistance experience; prior managed care experience preferred.Previously Certified as a Certified Application Assistor, desirableResults and detail oriented self-starterMust achieve and maintain HSF One-e-Application process certificationMust Be Certified as an Enrollment Counselor Certification status within 2 weeks of hirePassionate about helping resolve customer health care system access issuesExcellent oral communication, customer service and organizational skillsFluent and literate in English and Cantonese or Mandarin or Spanish desirable» Apply Now
Please review all application instructions before applying.
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