Enrollment & Eligibility Specialist - Flexible Schedule

American Benefit Plan Administrators, Inc.

Kansas City (MO)

Hybrid

USD 42,000 - 54,000

Full time

14 days+
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Job summary

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations, maintain accurate member records, and assist with inquiries related to coverage and benefits. The role requires handling PHI/PII in accordance with job responsibilities and collaborating with internal teams and external partners to ensure timely, accurate documentation and service.

The position emphasizes dependable office performance, attention to detail, and strong communication.

Qualifications

  • High School diploma or equivalent.
  • At least 6 months general office experience.
  • 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, technical procedures, benefit plans and regulations.
  • Proficient in MS Office 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 Plan benefits.
  • Maintain member and dependent files in the administration system.
  • Resolve eligibility & enrollment issues with vendors (PPOs/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 examiners and billing processors concerning enrollment issues.
  • Perform other job related duties as assigned.

Skills

Dependability
Team player
Integrity and customer service
Clear communication
Attention to detail
Reading and comprehension
MS Office proficiency

Education

High School diploma or equivalent

Tools

MS Office Suite

Job description

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations, maintain accurate member records, and assist with inquiries related to coverage and benefits. The role requires handling PHI/PII in accordance with job responsibilities and collaborating with internal teams and external partners to ensure timely, accurate documentation and service.

The position emphasizes dependable office performance, attention to detail, and strong communication.

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