Managed Care Enrollment Specialist

Job Brief

Managed Care Enrollment Specialist Yakima, WA

Employment duration:

Full time

Exempt Status:

Non-exempt

Offer Relocation?:

No

ID:

16665

Join our team as a Managed Care Enrollment Specialist in Yakima, WA!

This position is responsible for enrolling and retaining Managed Care Medicaid patients and establishing them with providers within the network. This position is located on-site in Yakima, WA.

Be part of a healthcare organization that believes in making a difference beyond medical care! At Yakima Valley Farm Workers Clinic, we value inclusivity, and we are more than just a job – we are a community committed to the well-being of our members.

We've transformed into a leading community health center. With 40+ clinics across Washington and Oregon, we offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

Explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families.

Position Highlights:

• $18.47-$22.62/hour DOE with the ability to go higher for highly experienced candidates
• 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What You’ll Do:

• Work directly with a patient to enroll and maintain healthcare coverage
• Complete an Affordable Care Act (ACA) application, a Medicaid renewal, and other required updates
• Identify an eligibility problem and perform appropriate research, documentation, and follow-through to find a solution
• Perform outreach to get a new patient. Coordinate their appointment to establish care with a Provider in the clinic
• Provide education regarding the ACA to current and prospective members
• Process a referral and respond to a customer inquiry
• Explain benefits, procedures, and protocols to an external and internal customer
• Submit the required documentation to a Managed Care plan for a plan-approved referral
• Manage work to meet or exceed a goal for response time and quality for the call center
• Perform other duties as assigned

Qualifications:

• High School Diploma or GED required; Associate of Arts Degree in business or a similar field is preferred
• One year of experience interacting with the public in a business environment is required
• One year of experience working in a healthcare environment with experience in healthcare information systems is preferred
• Certified ACA navigator or completion of ACA training and certification is required within 90 days of employment
• Bilingual (English/Spanish) required at a level 10
• Knowledge of health care systems is highly desirable
• Ability to write concise, organized, and clear communications
• Effective verbal, written, and listening communication skills
• Ability to develop effective working relationships to gain trust and establish credibility
• Strong organizational skills and strong attention to detail and accuracy
• Knowledgeable in the use of standard office equipment
• Ability to manage stressful situations and work in a fast-paced and rapidly changing environment

Our Mission Statement

“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”

Our mission celebrates diversity. We are committed to equal-opportunity employment.

Contact us at jobs**@yvfwc.org** to learn more about this opportunity!

Visit our website at www.yvfwc.com to learn more about our organization.