Medical Insurance Enrollment Specialist Job at Robert Half (Buena Park)

Part-Time Bilingual Spanish Insurance Enrollment Specialist

A Healthcare Company is seeking a Part-Time Bilingual Spanish Insurance Enrollme...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of experience in one or more of the following areas: Medical front desk, Patient access, Insurance enrollment
Strong communication and customer service skills
Detail-oriented with the ability to manage high-volume workflows
Strong organizational skills and ability to maintain accurate records
Basic computer proficiency and data entry skills
Bilingual in Spanish and English required

Job Responsibility

Guide patients through Covered California and Medi-Cal enrollment processes
Assist patients with applications, eligibility verification, and plan selection
Educate patients on insurance options, benefits, and coverage details in a clear and supportive manner
Verify documentation and ensure accuracy and completeness of all enrollment records
Provide in-person and phone support to patients with questions related to enrollment and coverage
Track enrollment activity and maintain accurate records in internal systems
Conduct follow-up with patients regarding renewals, missing documents, and incomplete applications
Support outreach efforts and community enrollment initiatives as needed
Collaborate with internal staff to help resolve enrollment issues and ensure a positive patient experience

What we offer

Medical Insurance
Dental Insurance
Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Parttime

Enrollment Specialist

A Health Plan in Buena Park for a Part Time Enrollment Specialist who is Bilingu...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bilingual in Spanish is a MUST
At least 1 year of experience in medical front desk, patient access, or insurance enrollment roles
Familiarity with health insurance programs such as Covered California and Medi-Cal is preferred
Strong communication and interpersonal skills to assist diverse patient populations
High attention to detail and the ability to manage multiple tasks efficiently in a fast-paced environment
Proficiency in computer data entry and maintaining organized records
Bilingual Spanish skills are preferred and may be required depending on client needs
Experience with annual and open enrollment processes is an advantage
Strong commitment to providing exceptional customer service.

Job Responsibility

Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal
Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions
Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies
Maintain up-to-date records of enrollment activity and manage data entry into internal systems
Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes
Collaborate with community outreach teams to support enrollment initiatives and drive awareness
Deliver excellent customer service by addressing patient inquiries and concerns promptly
Stay informed about changes in health insurance policies to provide accurate guidance to patients.

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Parttime

Enrollment Specialist

We are looking for a dedicated Enrollment Specialist to join our team in Buena P...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical front desk, patient access, or insurance enrollment roles
Familiarity with health insurance programs such as Covered California and Medi-Cal is preferred
Strong communication and interpersonal skills to assist diverse patient populations
High attention to detail and the ability to manage multiple tasks efficiently in a fast-paced environment
Proficiency in computer data entry and maintaining organized records
Bilingual Spanish skills are preferred and may be required depending on client needs
Experience with annual and open enrollment processes is an advantage
Strong commitment to providing exceptional customer service.

Job Responsibility

Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal
Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions
Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies
Maintain up-to-date records of enrollment activity and manage data entry into internal systems
Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes
Collaborate with community outreach teams to support enrollment initiatives and drive awareness
Deliver excellent customer service by addressing patient inquiries and concerns promptly
Stay informed about changes in health insurance policies to provide accurate guidance to patients.

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement.

Credentialing Enrollment Specialist

Location

United States , Charlotte

Salary:

24.10 - 36.15 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Bachelor's degree preferred
Three years' experience in a role that performs or supports provider credentialing, privileging, and/or enrollment in either a hospital, managed care plan or CMS environment
Knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone
Experience in typing, word processing, and business correspondence
Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred

Job Responsibility

Performs primary source verifications of documentation required for managed care credentialing and re-credentialing of MGD providers
Provides issue resolution and support regarding billing issues as they relate to provider enrollment and credentialing for MGD providers and the Central Billing Office
Enters provider data in the ECHO database according to established departmental processes and provides feedback to other System entities as to the status of the applicants
Performs follow-up on needed information (expired licenses, board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner
Prepares physician files for file audits by managed care organizations, Corporate Compliance and accreditation entities
Conducts practice site visits for practices within MGD
Facilitates communication tools and or activities to maintain timely and accurate flow of information to Managed Care Organizations (MCOs) and the System
Reviews hard copy and electronic provider directories and other information produced by managed care organizations reflecting MGD and the System's demographics and participation
Provides Team member support to the CPN Credentialing and Quality Review Committee

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Medical Accounts Receivable Specialist

This contract-to-permanent position involves managing the full insurance revenue...

Location

United States , Bellevue

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in healthcare, dental, or medical insurance accounts receivable and revenue cycle management
Proficiency in handling accounts receivable, cash applications, and billing functions
Solid understanding of health care revenue cycle processes, including collections and cash activity
Strong analytical skills to identify issues and implement solutions for claim denials and payment discrepancies
Familiarity with payor-specific regulations and contractual requirements
Ability to manage provider credentialing and enrollment processes efficiently
Excellent communication and collaboration skills to work effectively across teams and departments
Strong attention to detail and organizational skills to maintain compliance and ensure accuracy in all tasks

Job Responsibility

Oversee insurance accounts receivable processes from initial charge posting to final resolution
Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately
Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss
Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy
Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors
Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues
Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards
Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios
Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes
Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Benefits Specialist

Under direct supervision of the Benefits Manager, performs a variety of routine ...

Location

United States , Glendale

Salary:

Not provided

Casino Careersv

Expiration Date

Until further notice

Requirements

Associate’s degree plus four (4) years of working hands-on with employee benefit programs, with multi-property experience and a minimum of 1200 team members required, to include developing programs, direct interaction with team members related to benefits, compliance with pertinent legal issues including Employee Retirement Income Security Act (ERISA) and Cafeteria Plans (Section 125) or equivalent combination of education and experience
Bilingual in Spanish is preferred
CEBS, PHR, SPHR or CBP certification preferred
Gaming experience preferred
Must be 18 years of age or older
No felony, theft or stealing convictions allowed
Must be able to pass a pre-employment drug/alcohol screen, background investigation, obtain and maintain gaming license
Knowledge and understanding of employee benefits principles, practices, procedures, and documentation
Knowledge of state and federal laws pertaining to employee benefits, COBRA, and IRS Section 125, FMLA, Americans with Disabilities Act (ADA) and 401(k)
Knowledge of open enrollment systems and procedures

Job Responsibility

Responsible as assigned, for the implementation, communication and administration of the benefit and leave programs
Manages leave programs including Family Medical Leave (FML) and non-FML leaves of absence
Provides individual benefits counseling to team members
Coordinates disability processes and payments and advocates for Team Members with vendors
Performs daily administration of benefits plans including processing changes and updates in Human Resources Information System (HRIS)
Works with appropriate personnel to build and maintain benefits reports
Coordinates the benefit enrollment process for all team members
Audits new hire elections before they are transmitted to vendor(s)
Audits eligibility files to carriers and resolves any outstanding issues before transmitting
Ensures timely processing of Qualified Family Status Changes and Qualified Medical Support Court Orders (QMSCO)

What we offer

Flexible schedules
paid time off
tuition assistance
insurance options
competitive salaries
great benefit packages
career advancement opportunities

Fulltime

Senior People Ops & System Specialist

We are looking for a detail-oriented and proactive Senior People Operations & Sy...

Location

United Kingdom , London

Salary:

Not provided

Aptitude Software

Expiration Date

Until further notice

Requirements

3+ years of experience in a People Operations, HR Shared Services
Hands-on experience administering an HRIS platform
Understanding of UK employment law, statutory benefits, and HR compliance requirements
Proven ability to process high volumes of HR transactions accurately and to deadline
Strong data-handling skills
comfortable with Excel/Google Sheets and HRIS reporting tools
Excellent attention to detail and a process-improvement mindset
Strong interpersonal and communication skills
Ability to handle confidential and sensitive information with discretion

Job Responsibility

Serve as the primary system administrator for Connect HR, owning configuration, data integrity, user access, and ongoing maintenance
Process all HR transactions in Connect HR including new hires, role changes, promotions, salary adjustments, transfers, and leavers
Build, innovate and maintain workflows, approval chains, and automated alerts within the system to support HR processes
Perform regular audits to ensure employee records are accurate, complete, and compliant with local data protection requirements (UK GDPR / US state laws)
Act as the first point of contact for employee and manager queries related to Connect HR
developing modernised and easy to navigate user guides and deliver system training
Collaborate with the vendor and internal IT teams on system upgrades, integrations, and troubleshooting
Manage end-to-end employee lifecycle administration: contracts, onboarding, changes, and offboarding documentation for APAC, UK and US employees
Maintain and update HR policies, employee handbooks, and process documentation to reflect current UK and US employment law
Support payroll preparation by ensuring all people changes are accurately reflected and communicated to payroll teams on time

What we offer

ShareSave scheme – ability to purchase company shares on preferential terms
Private healthcare
Income protection and group life insurance
Pension Scheme
Company Funded Health Cashplan
Employee Assistance Programme
Access to Private Dental Benefits
Flexible / hybrid working options
Enhanced Family Friendly Leave for adoption, maternity and paternity
Bike 2 Work Scheme

Fulltime

Senior People Ops & System Specialist

We are looking for a detail-oriented and proactive Senior People Operations & Sy...

Location

Poland , Wrocław

Salary:

Not provided

Aptitude Software

Expiration Date

Until further notice

Requirements

3+ years of experience in a People Operations, HR Shared Services
Hands-on experience administering an HRIS platform
Understanding of UK employment law, statutory benefits, and HR compliance requirements
Proven ability to process high volumes of HR transactions accurately and to deadline
Strong data-handling skills
comfortable with Excel/Google Sheets and HRIS reporting tools
Excellent attention to detail and a process-improvement mindset
Strong interpersonal and communication skills
Ability to handle confidential and sensitive information with discretion
Experience supporting HR administration in Poland, including knowledge of the Polish Labour Code and ZUS obligations

Job Responsibility

Serve as the primary system administrator for Connect HR, owning configuration, data integrity, user access, and ongoing maintenance
Process all HR transactions in Connect HR including new hires, role changes, promotions, salary adjustments, transfers, and leavers
Build, innovate and maintain workflows, approval chains, and automated alerts within the system to support HR processes
Perform regular audits to ensure employee records are accurate, complete, and compliant with local data protection requirements
Act as the first point of contact for employee and manager queries related to Connect HR
developing modernised and easy to navigate user guides and deliver system training
Collaborate with the vendor and internal IT teams on system upgrades, integrations, and troubleshooting
Manage end-to-end employee lifecycle administration: contracts, onboarding, changes, and offboarding documentation for APAC, UK and US employees
Maintain and update HR policies, employee handbooks, and process documentation to reflect current UK and US employment law
Support payroll preparation by ensuring all people changes are accurately reflected and communicated to payroll teams on time

What we offer

Private healthcare
Life and disability insurance
ShareSave scheme – ability to purchase company shares on preferential terms
English language lessons during working hours
Flexible working conditions and hybrid work model
EAP
Multisport card
Free foreign travels insurance (for no work-related travels)
Easter/ Christmas Funding

Fulltime

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Medical Insurance Enrollment Specialist

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