BENEFITS ENROLLMENT SPECIALIST

SUMMARY:

The Benefits Enrollment Specialist facilitates access to government-funded health insurance by determining eligibility, assisting with applications, and managing renewals. 

TO PERFORM THIS JOB SUCCESSFULLY, AN INDIVIDUAL MUST BE ABLE TO PERFORM EACH ESSENTIAL DUTY SATISFACTORILY.  THE REQUIREMENTS LISTED BELOW ARE REPRESENTATIVE OF THE KNOWLEDGE, SKILL, AND/OR ABILITY REQUIRED.  REASONABLE ACCOMMODATIONS MAY BE MADE TO ENABLE INDIVIDUALS WITH DISABILITIES TO PERFORM THE ESSENTIAL FUNCTIONS. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Application Assistance: Helps individuals navigate, complete and submit Medicaid and other government program applications.  Uses software to complete and submit applications electronically. Completes and submits paper applications as appropriate.
• Eligibility Verification: Determines if individuals qualify for coverage under the appropriate government program based on income, residency, and other relevant criteria.
• Redetermination and Renewals: Manages renewal process to prevent lapses in coverage.
• Documentation Management: Ensures all required documentation is accurate and complete.
• Liaison Services: Acts as a liaison between individuals, providers, and state agencies.
• Monitors submitted applications and takes appropriate action to resolve/finalize. Documents all relevant action taken.
• Responsible for providing data as requested by Manager or Supervisor.
• Attends meetings as deemed appropriate by supervisor.
• Performs other related duties as assigned by leadership.

This position requires compliance with all of Alivio’s written standards, including its Standards of Conduct, Joint Commission standards, all policies and procedures and Corporate Compliance requirements. Compliance will be considered as part of the regular performance evaluation.

Benefits: 

Full-Time Benefits:

• Paid Time off (Vacation, Paid Sick Leave and Paid Leave)
• Full Health Benefits (Medical , Dental , Vision, Disability, Life Insurance. )
• 403B Retirement Plan.

QUALIFICATIONS:

Education:

Associate’s degree preferred

Certification or Licensure:

N/A

Experience:

Minimum two years experience with benefits enrollment.  Previous experience with Medicaid enrollment highly desired.

Special Training:

Demonstrated Competencies:

Must be bilingual, fluent in English and Spanish

Possess excellent oral and written communication skills.

Proficient in use of window-based computer systems, including but not limited to, Microsoft Office, Salesforce, and internet.

Ability to work independently without close supervision.

Ability to establish and maintain effective working relationships with clients and staff.