Enrollment & Eligibility Specialist

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 35,000 - 45,000; Full time

Job summary

CommunityCare HMO Inc. in Tulsa seeks a detail-oriented professional to manage reporting, reconciliation, and system updates. You will create and maintain customer eligibility in the company database and generate correspondence for new packets and notices.

The role also involves assembling and distributing customer handbooks, processing notifications, and supporting enrollment changes. Strong communication, independence, and accuracy are essential for success.

Qualifications

• Strong oral and written communication skills are required.
• Ability to work independently with limited supervision.
• Ability to communicate effectively at all levels of the organization.
• Ability to manage multiple projects concurrently.
• Strong problem solving and critical thinking abilities.
• High attention to detail is essential.
• Background check for Health Care Sanctions is required.
• Proficiency with Microsoft applications.

Responsibilities

• Create and maintain customer eligibility in the database and generate related correspondence.
• Review and process files and reports, mail notices, and update enrollment information.
• Process renewal routes for employer groups and verify IDs before printing and mailing cards.
• Review and update internal policies and procedures.
• Perform other job-related duties as assigned.

Skills

Communication skills

Independent work

Multi-project management

Problem solving

Attention to detail

Microsoft Office proficiency

Education

High School diploma or equivalent

1-3 years in managed care

Tools

Microsoft Office

Job description

CommunityCare HMO Inc. in Tulsa seeks a detail-oriented professional to manage reporting, reconciliation, and system updates. You will create and maintain customer eligibility in the company database and generate correspondence for new packets and notices.

The role also involves assembling and distributing customer handbooks, processing notifications, and supporting enrollment changes. Strong communication, independence, and accuracy are essential for success.