Remote Enrollment Specialist I–IV

Capital District Physicians Health Plan Inc; Buffalo (NY); Remote; USD 28,000 - 45,000; Full time

Job summary

CDPHP is seeking an Enrollment Specialist to perform core enrollment processing and servicing for broker, member, and group inquiries across all product lines. The role requires timely, accurate handling of enrollments, benefit changes, and reinstatements using multiple systems, while adhering to HIPAA and CMS guidelines.

The position emphasizes interaction with internal teams and external customers, with potential for on-site or remote work based on business needs and policy.

Qualifications

• Solid written and verbal communication skills.
• Organizational, analytical and time management abilities.
• Proficient with Microsoft Office Suite.

Responsibilities

• Process enrollment for Government Programs, small, mid and large employer groups.
• Maintain communication with Enrollment Management, Sales, Underwriting and Claims.
• Handle member enrollments and changes using multiple enrollment systems.
• Review enrollment activity for accuracy and regulatory compliance.
• Respond to inquiries from internal and external customers via multiple channels.

Skills

Communication skills

Organizational skills

Analytical skills

Time management

Microsoft Office

Multi-tasking

Attention to detail

Phone skills

Education

High School Diploma or equivalent

Job description

CDPHP is seeking an Enrollment Specialist to perform core enrollment processing and servicing for broker, member, and group inquiries across all product lines. The role requires timely, accurate handling of enrollments, benefit changes, and reinstatements using multiple systems, while adhering to HIPAA and CMS guidelines.

The position emphasizes interaction with internal teams and external customers, with potential for on-site or remote work based on business needs and policy.