Enrollment Specialist

PSG Global Solutions; Grand Rapids (MI); On-site; USD 32,000 - 48,000; Full time

Job summary

A healthcare enrollment firm based in Grand Rapids, Michigan is urgently seeking a dedicated Enrollment Processor. The role involves accurately processing enrollment transactions, maintaining compliance with regulatory standards, and providing support to customers throughout the enrollment process. Candidates should possess a high school diploma with previous experience in enrollment processing, strong analytical and communication skills, and the ability to manage multiple priorities. This position offers an opportunity to contribute to essential health program enrollment efforts.

Qualifications

• Previous enrollment processing experience is required.
• Decision-making skills are essential.
• Must have strong organizational and multi-tasking skills.
• Strong organizational ability with multitasking to meet deadlines.

Responsibilities

• Review and process enrollment transactions with accuracy.
• Communicate with internal/external customers regarding enrollment status.
• Conduct research to resolve customer issues effectively.
• Analyze reports to reconcile enrollment discrepancies across systems.
• Research customer issues and respond to inquiries timely.
• Provide information on enrollment processes and regulatory requirements.

Skills

Attention to detail

Excellent communication skills

Analytical skills

Problem-solving skills

Organizational skills

Problem-solving

Decision-making

Organizational skills

Multi-tasking

Education

High School diploma

Associate's Degree

Tools

Microsoft Office applications

Microsoft Office

Job description

• Review and process enrollment transactions and interpret with accuracy.
• Details data entry (enrolling Individual applications, short term applications, dental enrollment applications, Return mail, and other misc. changes). Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards. This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
• Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters.
• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies.
• Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
• Courteously provide customers with information and education concerning government program enrollment processes and requirements.
• Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
• Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process.

Qualifications

Required Experience:

• Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data
• High School diploma - Required
• Must have attention to detail and team-oriented
• Must have excellent communication skills
• Excellent analytical and problem-solving skill are required
• Decision-making skills are essential as is the ability to assume responsibilities as delegated
• Must have strong organizational skills, with attention to detail and ability to multi-task, manage multiple priorities and meet deadlines.

Preferred Experience:

• Associate's Degree Preferred
• Enrollment Position Experienced
• Experience with Marketplace/Medicare regulations
• Excellent computer skills proficiency with Microsoft Office applications
• Managed care experience

Additional Information

This is an urgent job opportunity. Please send your updated resume to [e-mail] or call me at my number 313-279-1020.