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Enrollment & Eligibility Services Assistant - Hybrid

Job in Las Vegas, Clark County, Nevada, 89105, USA
Listing for: MagnaCare
Full Time position
Listed on 2026-07-18
Job specializations:
  • Administrative/Clerical
  • Healthcare
Salary/Wage Range or Industry Benchmark: 52000 - 76000 USD Yearly USD 52000.00 76000.00 YEAR
Job Description & How to Apply Below
Position: Enrollment & Eligibility Services Assistant I - Hybrid
  • Process standard enrollment applications and eligibility updates for active, COBRA, retiree, and disability coverage in accordance with plan rules
  • Review, verify, and validate dependent documentation (e.g., birth certificates, marriage licenses, guardianship forms) and update records under guidance
  • Handle routine qualifying life events (QLEs), COBRA enrollments, and generate standard self-pay notices
  • Support retiree transitions, including Medicare coordination and self-pay enrollment intake
  • Perform routine updates to carrier and vendor portals for enrollments, terminations, and demographic changes
  • Apply employer-submitted hours and demographic data to maintain accurate eligibility records
  • Assist with nightly batch processing of rosters, terminations, and reinstatements
  • Conduct outreach to members and employers to collect missing or incomplete documentation, including for dependent verification
  • Follow up with employers regarding late or missing hours files and contribution payments as part of the delinquency tracking process
  • Respond to standard inquiries from members, HR departments, and employers regarding eligibility status, documentation, and plan rules
  • Assist with open enrollment processing, including intake, verification tracking, and updates
  • Support employer onboarding efforts by assisting with portal use and file submission protocols under supervision
  • Maintain compliance with HIPAA and internal privacy standards in all communications and record handling
  • Assist with audit preparation, eligibility reporting, and data cleanup projects as directed
  • Escalate complex or unclear eligibility issues or employer data discrepancies to the Team Lead or Management
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