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Remote Consumer Eligibility Specialist

Key Facts

Remote From: 
Full time
Junior (1-2 years)
English, Spanish

Other Skills

  • Plan Execution
  • Computer Literacy
  • Non-Verbal Communication
  • Customer Service
  • Detail Oriented
  • Self-Motivation

Roles & Responsibilities

  • Minimum 1–2 years of experience interpreting and applying Medicaid policies and regulations, determining Medicaid eligibility in a public assistance or professional environment.
  • Previous Eligibility or Managed Care Organization (MCO) Enrollment Counseling Specialist is a plus.
  • Moderate to advanced computer skills with a high level of comfort learning new technology.
  • Excellent verbal and written communication skills with a self-motivated, success-driven attitude.

Requirements:

  • Consumer Support: Handle inbound and outbound calls, providing the highest level of service consistently.
  • Primary Focus: Interview applicants to collect essential financial details to facilitate the healthcare enrollment process.
  • Data Entry: Accurate application data entry and management of online chat inquiries.
  • Compliance: Interpret and follow defined procedures, policies, and regulated guidelines for all communication channels.

Job description

It's truly an exciting time to be a part of Vimo ®!  At Vimo, we are committed to building each other up and infusing a motivating and positive work environment. Our vision has always been to make finding and enroll in health insurance simple—this is more important now than ever before.

We are looking for Remote Consumer Eligibility Specialist to join our elite teams. As a Remote Consumer Service Representative, you’ll deliver an amazing consumer experience, helping millions of consumers across the country navigate the mystery of health insurance enrollment through our award-winning cloud-based tools.

 

 

Responsibilities

  • Consumer Support: Handle inbound and outbound calls, providing the highest level of service consistently.
  • Primary Focus: Interview applicants to collect essential financial details to facilitate the healthcare enrollment process.
  • Data Entry: Accurate application data entry and management of online chat inquiries.
  • Problem Solving: Utilize creative problem-solving skills to assist consumers with plan selection and eligibility determination.
  • Compliance: Interpret and follow defined procedures, policies, and regulated guidelines for all communication channels.
  • Training: Participate in extensive self-study and testing; maintaining eligibility is dependent upon passing required certification exams.

Required Qualification:

  • Minimum 1–2 years of experience interpreting and applying Medicaid policies and regulations, determining Medicaid eligibility in a public assistance or professional environment.
  • Previous Eligibility or Managed Care Organization (MCO) Enrollment Counseling Specialist are encouraged is a plus.
  • Moderate to advanced computer skills with a high level of comfort learning new technology
  • Excellent verbal and written communication skills with a self-motivated, success-driven attitude

Preferred Experience:

  • Bilingual (Spanish/English) is a plus.

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