Enrollment & Eligibility Specialist

Zenith American Solutions, Inc.; Denver (CO); On-site; USD 36,000 - 44,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Paid time off

Job summary

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations, maintaining member records and assisting with inquiries. The role requires handling PHI/PII, processing enrollment data, and coordinating with internal teams and vendors to ensure accurate information and timely documentation.

The position emphasizes strong customer service, attention to detail, and the ability to work with multiple plans and systems in a normal office environment.

Qualifications

• High School diploma or equivalent.
• Minimum 6 months general office experience with dependability.
• Strong work ethic and team player mentality.
• Integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong attention to detail and listening skills.
• Ability to read, analyze, and interpret general business materials, procedures, benefit plans and regulations.
• Proficient in MS Office tools and applications.

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 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.

Skills

Communication

Team player

Integrity

Customer service

Organization

Attention to detail

Reading & interpretation

MS Office

Education

High School diploma or equivalent

Tools

MS Office tools

Job description

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations, maintaining member records and assisting with inquiries. The role requires handling PHI/PII, processing enrollment data, and coordinating with internal teams and vendors to ensure accurate information and timely documentation.

The position emphasizes strong customer service, attention to detail, and the ability to work with multiple plans and systems in a normal office environment.