Member Enrollment & Compliance Coordinator

Johnson Service Group, Inc.; Orange (CA); On-site; USD 33,000 - 46,000; Full time

Benefits offered by this job

Weekly pay

Job summary

Johnson Service Group (JSG) is seeking a Member Enrollment – Program Assistant to support the Premium Billing & Member Enrollment team on-site in Orange County, CA. Schedule is Monday–Friday, 8:00 a.m.–5:00 p.m.; pay rate is $24.00/hr - $33.50/hr DOE.

You will help keep enrollment processes accurate and compliant, including eligibility analyses, provider assignments, and member requests, while preparing reports using Excel and Access.

Qualifications

• High school diploma or equivalent.
• 1+ year of eligibility and/or reconciliation experience.

Responsibilities

• Coordinate enrollment processes (eligibility analysis, provider assignments, age restrictions, complex condition monitoring, floor audits).
• Assist with member requests (health network changes, PCP change requests, data correction forms).
• Interpret policies/regulations and respond to questions.
• Prepare letters/surveys and coordinate data files (mail merges).
• Document workflows, desktop procedures, and policies to support compliance.
• Create reports and tools; perform reconciliations using Excel and Access.
• Support quality audits related to PHI/AOR and acceptance letter updates.
• Conduct outreach to members and health carriers to verify potential other health coverage.
• Sort and track returned mail and maintain logs.

Skills

Customer service

Bilingual English + threshold language

Education

High school diploma or equivalent

Tools

Excel

Access

Job description

Johnson Service Group (JSG) is seeking a Member Enrollment – Program Assistant to support the Premium Billing & Member Enrollment team on-site in Orange County, CA. Schedule is Monday–Friday, 8:00 a.m.–5:00 p.m.; pay rate is $24.00/hr - $33.50/hr DOE.

You will help keep enrollment processes accurate and compliant, including eligibility analyses, provider assignments, and member requests, while preparing reports using Excel and Access.