Enrollment and Matching Specialist

About us

Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.

About The Role: 

Your north star: Enroll clients referred to Pomelo’s doula network by health plans, providers, and doulas.

This role reports to our Referral Specialist Manager and can be based anywhere in the continental US. 

What You'll Do: 

• Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements.
• Document all incoming referrals and interactions in systems of record with timely and accurate updates.
• Match clients with existing doulas in the Pomelo Care doula network.
• Coordinate with health plan case managers and external healthcare providers to  share updates on referrals and achieve enrollment goals.
• Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties.
• Manage inbound calls from potential clients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs.
• Achieve member enrollment and doula matching goals as driven by company KPIs.
• Maintain a high quality level for documentation and in interactions with clients and doulas.
• Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals.
• Participate in training and development opportunities to stay current on healthcare trends and regulations.

Who You Are:

• Excellent customer service and communication skills.
• Experience working with various healthcare referral systems.
• Are internet-connected, able to work remotely.
• Passionate about changing the current landscape of healthcare.
• Strong organizational, documentation, and time-management skills.
• Ability to work independently and as part of a team.

Bonus points if you have any of the following

• Experience working in a fast-paced and dynamic startup environment.
• Experience in administrative and revenue driving roles.
• Ability to scope and tackle ambiguous problems.
• Familiar with working with people assigned to Medicaid health plans.
• Fluent in Spanish

Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup that always puts the patient first. You will learn, grow and be challenged, and have fun with your team while doing it.

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first.

Benefits and Perks:

• Comprehensive Health, Dental, and Vision coverage for employees and their families
• High deductible Health Plans with Health Savings Account (HSA) options
• Flexible Spending Account (FSA)
• Equity grant participation
• 401(k) program 
• Competitive vacation policy 
• 16 weeks paid parental leave 
• Fully remote work flexibility (within the US)

The expected hourly rate for this role is $21.63 - $26.44. This role is also eligible for a monthly performance bonus, and equity, giving you an ownership stake in Pomelo’s mission. On-target yearly earnings range from $46,920 - $58,000. Please note, OTE numbers are an estimate, actual amounts paid are based on performance against targets.

Potential Fraud Warning

Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.

Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.

If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at [email protected] to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.