Enrollment Services - Enrollment Processor - Commercial 160-1032

Communitycare; Tulsa (OK); On-site; USD 28,000 - 36,000; Full time

Job summary

Communitycare is seeking an Enrollment Clerk to handle entry, updates, and maintenance of enrollment and eligibility data with a focus on accuracy and timeliness in a healthcare setting.

The role requires strong communication, attention to detail, and proficiency with Microsoft Office, working under established guidelines and regulatory requirements. This full-time position is based in Tulsa, Oklahoma, and involves processing enrollment transactions and related correspondence.

Qualifications

• Strong oral and written communication skills.
• Self-motivated with the ability to handle multiple tasks and work with minimal supervision.
• Strong organizational skills.
• Ability to work effectively with personnel at various levels.
• Must have high attention to detail.
• Successful completion of Health Care Sanctions background check.
• Proficient in Microsoft Office applications.

Responsibilities

• Enter, update, and maintain enrollment and eligibility data; confirm for accuracy.
• Review enrollment information for completeness, accuracy, and compliance with established guidelines.
• Process enrollment transactions, changes, updates, and corrections.
• Maintain accurate member, group, and customer enrollment records through routine data maintenance.
• Queue, route, or generate enrollment-related correspondence as required.
• Identify incomplete, inconsistent, or missing enrollment information and escal.
• Ensure enrollment processing activities comply with internal policies, procedures, and applicable regulatory requirements.
• Perform other job-related duties as required or assigned.

Skills

Enrollment data entry

Attention to detail

Communication skills

Multi-tasking

Interpersonal with varied levels

MS Office proficiency

Education

High school diploma or equivalency

Two years admin healthcare experience preferred

Job description

JOB SUMMARY

Responsible for performing enrollment and eligibility data entry, updates, maintenance, review, transaction processing, correspondence queueing or routing, issue escalation, and compliance-based enrollment processing in accordance with established guidelines, policies, procedures, and applicable requirements.

KEY RESPONSIBILITIES

• Enter, update, and maintain enrollment and eligibility data; confirm for accuracy.
• Review enrollment information for completeness, accuracy, and compliance with established guidelines.
• Process enrollment transactions, changes, updates, and corrections.
• Maintain accurate member, group, and customer enrollment records through routine data maintenance.
• Queue, route, or generate enrollment-related correspondence as required.
• Identify incomplete, inconsistent, or missing enrollment information and escal.
• Ensure enrollment processing activities comply with internal policies, procedures, and applicable regulatory requirements.
• Perform other job-related duties as required or assigned.

QUALIFICATIONS

• Possess strong oral and written communication skills.
• Self-motivated with the ability to handle multiple tasks and work with minimal supervision
• Strong organizational skills.
• Ability to work effectively with personnel at various levels.
• Must have high attention to detail.
• Successful completion of Health Care Sanctions background check.
• Proficient in Microsoft office applications.

EDUCATION/EXPERIENCE

• High school diploma or equivalency.
• Two years working in an administrative function for a health care institution, insurance company or medical group preferred.