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Enrollment & Retention Representative (SHP) - 9:30 a.m. - 6:00 p.m.

Company: Centene Corporation
Location: Glendale
Posted on: January 13, 2022

Job Description:

Position Purpose: The Enrollment and Retention Representative supports the education and enrollment of prospective Health Net Medicaid members statewide by providing benefit, eligibility and Health Net information and assistance for multiple Health Net State Health Program products. The Rep gives education presentations over the telephone that may result in telephonic enrollments, in-home appointments, or a kit request with follow up call. The Rep places outbound calls to prospective members in response to leads received and maintains membership through retention activities. These retention activities include contacting county social services and DHCS enrollment vendor to determine barriers in member retention Demonstrates regular, reliable and predictable attendance. Communicates with beneficiaries or other parties involved in the case, either by phone or letter. Records inquiries, requests and responses while on call to track trends, create reports and document performance on all cases. Identifies and researches complex enrollment issues and priority cases to increase membership and retain existing members. Educates beneficiaries how to enroll with Health Net SHP. Takes appropriate action to correct or resolve the priority case. Assists members in connecting with other county agencies or the State enrollment contractor to help resolve enrollment and retention issues. Analyzes system issues and makes recommendations for process improvements. In addition creates correction forms for discrepancies noted in any enrollment system. Trains new associates and answers questions relating to eligibility, retention, benefits, rates, methodology, and underwriting. Also assists in the distribution of workflow, quality and production standards of the team. Completes various administrative tasks, which may include mailing, faxing, updating databases, creating and maintaining group files, photocopying and microfilming. Other duties as assigned.Qualifications:The Representative is required to handle complex enrollment tasks such as priority issues from Regulatory agencies and County Social Service offices, advocacy inquiries or others from internal management. Performance of these tasks involves the ability to research and resolve complex enrollment, eligibility issues to completion. This position also depends on excellent written and oral communication skills. Additional responsibilities may involve assisting in system analysis and process improvement, training or back up to lead. Required to meet monthly enrollment and retention goals as established. This position is a bilingual position and all associates must speak, read, and write in Spanish and English.Education/Experience: High School diploma or equivalent required; Two years college preferred, or equivalent work experience. Minimum two years in a related field or production environment with personal accountability for own work. Healthcare industry experience preferred. Three years administrative/accounting experience in a Health Insurance environment preferred.License/Certification: Must obtain Medi-Cal Sales and Marketing Certification and renew certification every other year.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Glendale , Enrollment & Retention Representative (SHP) - 9:30 a.m. - 6:00 p.m., Other , Glendale, Arizona

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