In addition to the Enrollment Specialist duties, the Enrollment Unit Lead (EUL) provides assistance to team members as well as the Enrollment Unit Supervisor. The EUL provides subject matter expertise and serves as an escalation point for Enrollment Specialists, assisting with complex member and provider issues as they occur.
Education and Experience
High School Diploma or equivalent; minimum three (3) years’ experience in a managed care customer service environment preferred.
Special Skills, Licenses and Certifications
Thorough knowledge of managed care and Member Services
Policies and Enrollment Unit procedures preferred. Excellent understanding of all PHC policies and procedures relating to all aspects of care. Excellent understanding of external agencies that provide services to PHC members. Strong understanding about the Medi-Cal eligibility process. Working knowledge of business software applications. Proficient use of computer keyboard to access data. Bilingual skills in Spanish, Tagalog, or Russian are preferred. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Must have the following skill sets:
· Strong oral and written communication
· Excellent Customer Service
· Exceptional Organization skills
· Solid Judgment and Analytical abilities
Other required competencies and abilities
· Prioritize issues
· Handle sensitive issues with tack and diplomacy
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 80% of work time is spent
talking on the telephone and using a computer monitor. When required,
ability to move, carry, or lift objects of varying sizes, weighing up to 25 lbs.
Additional Preferred Skills: Must be strong in the following skill sets; communication, (written and oral), multi-tasking, time management, organization, strong problem solving and auditing skills. Good working knowledge of Word, Excel & Outlook. Able to type 35 wpm and 10-key.
All HealthPlan employees are expected to:
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.