Job Description:
Pay Range: $15hr - $20hr
Essential Functions:- Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events.
- Complete monthly reconciliation process and resolve discrepancies.
- 25% Coordinate with the Account Installation team as it pertains to member identification card process to ensure cards are not released until all enrollment updates are completed and audited.
- Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill.
Qualifications:
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
- The requirements listed below are representative of the knowledge, skill, and/or ability required.
- accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level:
- High School Diploma or GED.
Experience:
- Less than one year experience in membership enrollment, member services, billing, claims operations, and/or data analysis.
Knowledge, Skills and Abilities:
- Must be able to work effectively in a team environment.
- Must be able to adapt swiftly to multiple and rapidly changing priorities.
- Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software.
- Must be able to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate client system.
- Must be able to use Microsoft Office, specifically Excel.
- The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs.
- Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
- Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.