Enrollment & Eligibility Specialist - Flexible Schedule

Zenith-American; Wilmington (DE); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Vision coverage

Dental coverage

401(k) with company match

Paid time off (PTO)

Growth opportunities

Job summary

Zenith American Solutions in Wilmington, Delaware is seeking an Eligibility & Enrollment Processor to support enrollment operations by maintaining accurate member records and assisting with enrollment-related processes. This role will require handling inquiries, coordinating with vendors, and ensuring timely documentation while protecting PHI/PII.

You will maintain member files, resolve eligibility issues, handle correspondence, and contribute to efficient enrollment activities.

Qualifications

• High School diploma or equivalent is required.
• Minimum 6 months general office experience with demonstrated dependability.
• Strong work ethic and team player mentality.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong attention to detail and listening abilities.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and applies knowledge across job functions.
• Provides written, verbal, or face-to-face customer service by responding to inquiries and documenting them according to Plan benefits.
• Maintain member and dependent files in the administration system.
• Resolve eligibility and enrollment issues with various vendors (PPOs, PBMs, etc.).
• Handle inbound and outbound correspondence, such as ID cards and eligibility packets.
• 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.

Job description

Zenith American Solutions in Wilmington, Delaware is seeking an Eligibility & Enrollment Processor to support enrollment operations by maintaining accurate member records and assisting with enrollment-related processes. This role will require handling inquiries, coordinating with vendors, and ensuring timely documentation while protecting PHI/PII.

You will maintain member files, resolve eligibility issues, handle correspondence, and contribute to efficient enrollment activities.