Enrollmente Reprentative

AppleOne; San Juan (PR); On-site; USD 22,000 - 30,000; Full time

Benefits offered by this job

Major medical insurance

Dental insurance

Vision insurance

401k

Job summary

AppleOne Employment Services seeks an Enrollment Representative to support health insurance enrollment, renewals, eligibility validation, and member record maintenance, ensuring accuracy and compliance with applicable regulations. This role handles enrollment, renewals, demographic changes, and eligibility transactions, reviewing errors, maintaining records, and ensuring CMS/ASES compliance.

The position requires an associate degree or 60 college credits with 1 year of health insurance customer

Qualifications

• Associate degree or 60 college credits with 1 year of health insurance customer service or claims experience.
• Alternative: high school diploma with at least 3 years of health insurance customer service or claims experience.

Responsibilities

• Process enrollment, renewals, demographic changes, and member eligibility transactions.
• Review and correct system errors and membership discrepancies.
• Maintain accurate member records and document transactions.
• Ensure compliance with CMS, ASES, and organizational procedures.

Skills

Customer service

Education

Associate degree / 60 credits

High school diploma + 3 years experience

Job description

We are seeking an Enrollment Representative to support health insurance enrollment, renewals, eligibility validation, and member record maintenance, ensuring accuracy and compliance with applicable regulations.

Responsibilities

• Process enrollment, renewals, demographic changes, and member eligibility transactions.
• Review and correct system errors and membership discrepancies.
• Maintain accurate member records and document transactions.
• Ensure compliance with CMS, ASES, and organizational procedures.

Requirements

• Associate degree in Business Administration, Marketing, or Communications, or at least 60 college credits, plus 1 year of related customer service or claims experience in health insurance; preferred.
• Alternatively, high school diploma and at least 3 years of related customer service or claims experience in health insurance; preferred.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.