[Hiring] Enrollment Specialist I/II/III/IV @company

Role Description

Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations, the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation’s enrollment regulations, Underwriting Guidelines, and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member, and group administrator inquiries for all product lines.

• Inquiries are received by telephone, email, written inquiries, lobby walk-in customers, and through on-site visits with an employer group.
• The B version of this role will require the individual to be on the phone regularly.

Qualifications

• Completed High School Diploma or Equivalent.
• Minimum of two (2) years health insurance or related operations work experience (preferred).
• Solid written and verbal communication skills.
• Proven organizational, analytical, and time management skills.
• Basic Computer proficiency, including experience in Microsoft Office Suite.
• Attention to detail and accuracy.
• Ability to multi-task efficiently.
• B Version: Ability to actively listen to customers while simultaneously taking notes.

Requirements

• Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations.
• Maintains communication with Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, and external Customers, groups, or Brokers.
• Responsible for the enrollment of new groups, renewals, new member and member movement.
• Prepares, processes, and maintains all member enrollments utilizing multiple Health Plan enrollment systems.
• Researches, interprets, and responds to inquiries from internal and external customers.
• Reviews, validates, and updates transaction errors impacting eligibility interfaces.
• Identifies issues and ensures all inquiries are responded to within department service level agreements (SLA’s).
• Prioritizes aged and Performance Guarantee Transactions.
• Attends necessary training and participates in meetings.
• Maintains high regard for member privacy in accordance with corporate policies.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.

Benefits

• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.

Compensation Range(s)

• Level I - 20.00 - 23.89
• Level II - 20.00 - 26.90
• Level III - 20.00 - 30.76
• Level IV - 20.02 - 33.03