Enrollment and Matching Specialist

About the role

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. 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.

Responsibilities

• 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.

Requirements

• 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 also offer:
• Competitive healthcare benefits
• Generous vacation
• Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Benefits

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at pomelocare? Share your experience