Enrollment & Eligibility Specialist

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 32,000 - 42,000; Full time

Job summary

CommunityCare HMO Inc. is seeking a diligent Enrollment Clerk to handle data entry, updates, and maintenance of enrollment and eligibility records in accordance with internal policies and applicable requirements.

You will review information for completeness, process enrollment transactions, and route related correspondence while maintaining accurate member and group records. Strong communication and Microsoft Office proficiency are essential.

Qualifications

• High school diploma or equivalent required.
• Two years in an administrative function within health care, insurance, or medical group preferred.
• Strong written and oral communication; detail-oriented with good organizational skills.

Responsibilities

• Enter, update, and maintain enrollment and eligibility data; verify accuracy.
• Review enrollment information for completeness and compliance.
• Process enrollment transactions, changes, updates, and corrections.
• Maintain accurate member, group, and customer enrollment records.
• Queue, route, or generate enrollment-related correspondence.
• Identify missing enrollment information and escalate issues as needed.
• Ensure compliance with policies, procedures, and regulatory requirements.
• Perform other related duties as required.

Skills

Oral and written communication

Multitasking

Detail oriented

Organizational skills

Team collaboration

Microsoft Office

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

CommunityCare HMO Inc. is seeking a diligent Enrollment Clerk to handle data entry, updates, and maintenance of enrollment and eligibility records in accordance with internal policies and applicable requirements.

You will review information for completeness, process enrollment transactions, and route related correspondence while maintaining accurate member and group records. Strong communication and Microsoft Office proficiency are essential.