Enrollment & Eligibility Specialist – Growth & Benefits

zenithamerican; Pittsburgh (Allegheny County); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health

Vision

Dental coverage

401(k) with company match

Paid time off (PTO)

Growth opportunities

Job summary

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations and maintain accurate member records. You will assist with inquiries, document coverage details, and coordinate with internal teams and external partners to ensure timely support.

The role requires handling PHI/PII with care, strong communication, and solid organizational skills in a typical office environment. A positive team player attitude is essential for success.

Qualifications

• High School diploma or equivalent.
• At least 6 months general office experience demonstrating dependability.
• Strong integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong detail orientation and listening skills.
• Proficient with 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 telephone and written 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

Team player

Clear communication

Detail oriented

Organizational skills

PHI/PII awareness

Data entry

Education

High School diploma or equivalent

Tools

MS Office

Job description

Zenith American Solutions is seeking an Eligibility & Enrollment Processor to support enrollment operations and maintain accurate member records. You will assist with inquiries, document coverage details, and coordinate with internal teams and external partners to ensure timely support.

The role requires handling PHI/PII with care, strong communication, and solid organizational skills in a typical office environment. A positive team player attitude is essential for success.