Correspondence Representative II

Paycom - ATS

Orange (CA)

Hybrid

USD 42,000 - 64,000

Full time

7 days ago
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Job summary

Paycom - ATS in Orange, CA is seeking an Enrollment Representative I to handle CaliforniaChoice enrollments. You will review forms, communicate with clients by phone, and prepare written correspondence in a fast-paced environment.

Responsibilities include reviewing documents, obtaining missing information, updating Pegasus/Doc-Link, and ensuring timely processing. Strong attention to detail and English communication are essential for success in this role.

Qualifications

  • Minimum 3 years of office or customer service experience.
  • Strong written and verbal English communication.
  • Typing speed of at least 50 WPM.
  • Proficient with MS Office and data entry.

Responsibilities

  • Review and process enrollment forms per SOP.
  • Compose written correspondence such as memos and letters.
  • Place outbound calls to gather missing information.
  • Enter comments in Pegasus or Doc-Link.
  • Maintain quality and turnaround time standards.

Skills

Customer service
Phone etiquette
Written comm
Attention to detail
Data entry
Microsoft Office

Education

High School Diploma

Tools

Pegasus
Doc-Link
SharePoint
Microsoft Office

Job description

Purpose of Position:Send written correspondence and communicate with clients via phone to obtain, review and process enrollment materials for participants of CaliforniaChoice.Essential Functions:Expert knowledge of all MPC Enrollment Rep I duties. Demonstrate knowledge of Correspondence duties as determined by department assessment as well as the following:Understand company policies and procedures as they apply to CaliforniaChoice plans.Responsible for the review and processing of the following forms including but not limited to:Employee ApplicationsChange Request FormsEmployee Termination FormsWeb Based FormsIdentify and obtain missing/incomplete information on forms based on guidelines and standard operating procedures.Follow the department Pending Item processCompose clear and concise written correspondence (i.e. pending item requests, denials, confirmations, memos, letters, etc.).Place outbound calls to obtain missing/incomplete information on forms.Maintain working knowledge of all products and systems used for job function (i.e. Pegasus, doc-link, SharePoint, etc.)Enter appropriate comments in a clear and succinct manner into Pegasus and/or Doc-Link.Meet department standards for quality and quantity of work.Maintain department and team standards for turnaround times.Adhere to all PHI (Personal Health Information) guidelinesAssist with departmental training needs as neededOnsite or remote regular attendance and punctuality are essential functions of the job.Performs other business tasks or functions as assigned.Knowledge,Skills &AbilitiesRequired:Customer Service and phone etiquette experience a must.Strong communication skills (written, grammatical and verbal) required.Must be able to communicate effectively in English.Ability to interact and communicate effectively with all levels of employees and customers.Must have strong attention to detail.Strong analytical skills and problem solving skills.Ability to perform in a fast-paced, deadline-oriented work environment.Excellent customer service and organizational skills.Able to build/gain commitment and overcome resistance to change.Ability to retain large quantities of information.Accurately type a minimum of 50 WPM.Proficient with Microsoft Office software (Access, Word, Excel, PowerPoint, Visio, Publisher, SharePoint, Outlook), web based technology.Must be highly motivated, have ability to take initiative, be accountable, have excellent interpersonal, and service oriented skills.Knowledge of the healthcare insurance industry a plus.Additional Competencies:Customer Focus, Learning on the Fly, Listening, Written CommunicationEducationalRequirements:High School Diploma or equivalent requiredThree plus (3+) years of office and/or customer service experience required.At least one (1) year of data entry experiencePhysicalRequirements:Must be able to sit for extended periods of time with occasional standing and walking. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 lbs. occasionally.
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