Enrollment Specialist

PSG Global Solutions; Southfield (MI); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare solutions firm located in Southfield, Michigan, is seeking an Enrollment Processing Specialist. The role involves reviewing and processing enrollment transactions accurately, communicating with customers regarding their enrollment status, and maintaining records. Qualified candidates must have a high school diploma, strong analytical skills, and attention to detail. Experience with Marketplace/Medicare regulations and proficiency in Microsoft Office is preferred. This is an urgent opportunity.

Qualifications

• Must have enrollment processing experience with analytical skills.
• Ability to interpret complex eligibility files.
• Strong organizational and decision-making skills required.

Responsibilities

• Review and process enrollment transactions accurately.
• Input various enrollment data and maintain records.
• Communicate with customers regarding enrollment status.

Skills

Attention to detail

Excellent communication skills

Analytical skills

Problem-solving skills

Organizational skills

Multi-tasking

Education

High School diploma

Associate's Degree

Tools

Microsoft Office

Job description

Responsibilities

• Review and process enrollment transactions and interpret with accuracy.
• Input 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.
• Enter and maintain data into Facets after review and analysis of electronic and hard copy information.
• Communicate 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.
• Provide customers with information and education concerning government program enrollment processes and requirements courteously.
• 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 be team-oriented
• Must have excellent communication skills
• Excellent analytical and problem-solving skills 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 number3 13-279-1020.