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Enrollment Coordinator (Bilingual Chinese or Spanish)

Company: Bright Health
Location: Diamond Bar
Posted on: January 23, 2023

Job Description:

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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives - apply to join our team.

Enrollment Coordinator position reports directly to the Enrollment Manager. Primary responsibilities are to ensure timely and accurate processing of enrollment applications, disenrollment, cancellations, and eligibility changes. Ensure all member communication materials are mailed within the required timeframes. Assist prospective and current members by responding to and resolving all inquiries related to the enrollment process.
Duties and Responsibilities


  • Handles incoming customer calls and assignments in a professional manner
  • Works on assigned/required weekends and after-hours during open enrollment season
  • Handles and processes all member enrollment, disenrollment, and cancellation requests; Duties include but not limited to:

    • Prints all incoming applications and disenrollments from fax or electronic enrollment via enrollment site, or OEC (mailed in (scan), emailed in)
    • Verifies and print beneficiary eligibility evidence for Part A/B, Medi-cal and Wipro (infocrossing)
    • Date stamps, sorts and combines application with eligibility into PDF packets. (Manage each application with its down individual folders for back up)
    • Screens all incoming application and follow up with broker for all discrepancies / missing information to ensure application is complete
    • Pre-logs application into Enrollment system for tracking and confirmation purposes
    • Processes enrollment applications: Data entry of prospective member into enrollment system for completed enrollments that have been evaluated with an assigned election type/code.
    • Generates submission report and upload enrollment application to member profile on a daily basis
    • Prints auto-generated notices (OEV, DIS, REJ, CAN, RFI etc.). Upload, call log and mail out.
    • Verification of member with Medi-Cal eligibility through online verification for DSNP monthly process
    • Notifies Broker Relations Department when questionable or non-compliant pattern is identified with specific brokers
    • Coordinates outbound calls with Member Services Department for research or obtaining additional information, Participating in Team chats, emails and meetings related to Department operations


    • Conducts any necessary research on questionable applications by working with supervisory staff.
    • Coordinates with Member Services Department to properly track the mailing of ID cards, and all other applicable letter/notices to members after enrollment completion
    • Responsible for handling the prospective Member calls transferred/received from Member Services Department and/or other departments. Inform Supervisor/Manager of issues encountered and provide resolution in a timely manner
    • Assists in translation and proofreading upon request from upper management and the marketing department

      Qualifications

      • Education: At least high school diploma; preferable college degree
      • Experience: Preferably with one (1) year of hands on Medicare enrollment/disenrollment background; or equivalent general healthcare background health plan, hospital administrative work, or doctor's office front desk. Preferably has some experience with healthcare member services or general customer service
      • Bilingual in Chinese or Spanish required, spoken and written - must be able to communicate effectively and professionally. Language will be tested for fluency.
      • Good organization skills, detail oriented
      • Able to work efficiently and can follow instruction well
      • Computer skills to include Word processing and Excel

        For individuals assigned to a location(s) in California, Bright Health is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant's education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $16 to $23 hourly.
        Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; up to 21 days of PTO, 10 paid holidays, plus 2 floating holidays per year; and a lifestyle spending account.


        We're Making Healthcare Right. Together.
        We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:

        Focusing on Consumers
        We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.

        Building on Alignment
        We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.

        Powered by Technology
        We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.




        As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



Keywords: Bright Health, Diamond Bar , Enrollment Coordinator (Bilingual Chinese or Spanish), Other , Diamond Bar, California

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