Enrollment and Eligibility Processor

Zenith American Solutions, Inc.; Kansas City (MO); On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Health, vision, and dental coverage

401(k) retirement plan with company match

Paid time off (PTO)

Job summary

Zenith American Solutions, Inc. is seeking an Eligibility & Enrollment Processor in Kansas City, Missouri. This role supports the enrollment operations by ensuring accurate member records and processing inquiries related to coverage and benefits.

Responsibilities include maintaining knowledge of assigned Plans, resolving enrollment issues with vendors, and providing exceptional customer service. Applicants must have a High School diploma and a strong work ethic, along with proficiency in MS Office tools.

Zenith American Solutions offers competitive benefits, including health, vision, and dental coverage, a 401(k) retirement plan, and paid time off.

Qualifications

• Minimum 6 months general office experience demonstrating dependability.
• Ability to read, analyze, and interpret business materials and regulations.
• Strong work ethic and commitment to customer satisfaction.

Responsibilities

• Maintain eligibility and enrollment issues with various vendors.
• Provide customer service via phone and written communication.
• Maintain member and dependent files in the administration system.

Skills

Customer satisfaction

Communication skills

Detail orientation

Computer proficiency

Team player mentality

Education

High School diploma or equivalent

Tools

MS Office tools

Job description

Position Summary

The Eligibility & Enrollment Processor supports enrollment operations by maintaining accurate member records and assisting with enrollment-related processes and inquiries. This role helps ensure enrollment information is processed accurately and that members and stakeholders receive timely support and documentation related to coverage and benefits. The position contributes to the efficient administration of enrollment activities and supports coordination with internal teams and external partners.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

• Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions.
• Provides written, verbal, or face‑to‑face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits.
• Maintain member and dependent files in the administration system.
• Resolve eligibility & enrollment issues with the various vendors (PPO'S. PBMs, etc.).
• Handle inbound and outbound correspondence, such as ID cards, eligibility packets, etc.
• Researches and resolves complex and technical issues and irregularities.
• Respond to inquiries from the examiners and billing processors concerning enrollment issues.
• Perform other job related duties as assigned.

Working Conditions / Physical Effort

Normal degree of physical effort in a typical office environment with comfortable, constant temperatures and absence of objectionable elements. May be subject to interruptions. May be required to lift a maximum of 25 lbs. Must be able to have flexible work schedule when workflow requires. Must meet established attendance and punctuality guidelines.

Minimum Qualifications

• High School diploma or equivalent.
• Minimum 6 months general office experience in which candidate has demonstrated dependability.
• Strong work ethic and team player mentality.
• Highly developed sense of integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong detail orientation and listening skills.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Proficient computer skills including MS Office tools and applications.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.

Disability Accommodation

Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at [e-mail].

Benefits

We realize the importance of a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more! At Zenith American Solutions, we take immense pride in fostering a positive, respectful, and supportive work environment that provides challenging opportunities while supporting a healthy work‑life balance.