Enrollment Specialist

Enrollment Specialist

Contract

Healthcare company

3 Months (possible to extend)

• Review and process enrollment transactions and interpret with accuracy.
• Details data entry (enrolling individual applications, short term applications, dental enrollment applications, return mail, and other misc. changes).
• Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards.
• This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
• Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters.
• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies.
• Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
• Courteously provide customers with information and education concerning government program enrollment processes and requirements.
• Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
• Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process.

Required Experience:

• Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data
• High School diploma - Required
• Must have attention to detail and team-oriented
• Must have excellent communication skills
• Excellent analytical and problem-solving skill are required
• Decision-making skills are essential as is the ability to assume responsibilities as delegated
• Must have strong organizational skills, with attention to detail and ability to multi-task, manage multiple priorities and meet deadlines.

Preferred Experience:

• Associate's Degree Preferred
• Enrollment Position Experienced
• Experience with Marketplace/Medicare regulations
• Excellent computer skills proficiency with Microsoft Office applications
• Managed care experience