HCO Field Ops - Enrollment Service Representative

Job Title: Enrollment Service Representative I
Job ID: 64126
Location: Los Angeles, California 


What you will be doing:

• Conducts face-to-face outreach and enrollment broker services to beneficiaries in a group and individual presentations.

• Presents Managed Care Options to beneficiaries and assists them in using their health care  plans.

• Assists beneficiaries in the enrollment/disenrollment process.

• Assists other Enrollment Service Representatives with daily management duties.

• Assists management with the training/guidance of new Enrollment Service Representative staff.

• Maintains positive relationships with the county staff, community groups and HCO clients;   conducts on-going training of HCO program to county staff.

• Performs data entry for enrollment/disenrollments, as needed.

• Transmits enrollment/disenrollment data to central processing facility operations in accordance with HCO policies and procedures.

• Assists beneficiaries with medical exemptions and waiver inquiries.

• Provides beneficiaries with status of enrollment/disenrollment, medical exemptions and waivers.

• Documents daily activity accurately in Customer Relationship Management Database

• Reviews knowledge base content for accuracy and makes recommendations for improvement.

• Adheres to established procedures, performs self-checking and pay attention to detail in the performance at work.

• Meets Field Operations minimum performance standards.

• Notifies management in a timely manner of any problems with procedural compliance using established processes.

• Reports observed quality problems and deficiencies in a timely manner.

• Makes recommendations to management for improving the quality and efficiency of work.

• Meets Production and Quality Assistance goals as defined for this position.

• Ability to work any and all assigned offices as directed by management.

• Ability to attend and promote the program during community events and health fairs as needed.

• Meets all standards established for this position as outlined in the attached performance criteria.

• Performs other duties as may be assigned by management.

What you must have:

• High School diploma, GED, or equivalent certification;

• knowledge of the community to be served;

• Computer literacy;

• ability to work with MS Office (Excel, Word, PowerPoint);

• ability to quickly learn new software programs. 

• Type 20+ wpm;

• ability to travel (valid CA driver’s license and evidence of insurance required) throughout the county and surrounding counties as needed, in a dependable and punctual manner;

• excellent organizational, interpersonal, written, and verbal communication skills;

• ability to perform comfortably in a fast-paced, deadline-oriented work environment;

• ability to successfully execute many complex tasks simultaneously;

• ability to work as a team member, as well as independently; and fluency in threshold languages including reading and writing ability.  

Preferred qualifications include:

• six months of human services experience dealing with the public. 

• Presentation and/or public speaking experience (teaching, marketing, community outreach and education, or public relations experience). 

• Experience working with low-income and diverse populations;

• Capable of presenting the required information and materials interactively and in a culturally and linguistically competent manner that readily lends itself to comprehension and retention by beneficiary being served.

Salary/Rate Range: $16.75 - $20.00 / hour


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com