Senior Enrollment Representative

Community First Health Plans; San Antonio (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Community First Health Plans is seeking a qualified candidate to assist the Enrollment Unit supervisor in directing enrollment activities, ensuring eligibility and insurance requirements are met according to policies and regulatory standards. HIPAA compliance is a critical aspect of all operations within Member Services, and the role requires attention to privacy and data protection.

Two years of college-level work in business or health care administration are required, with enrollment/billing

Qualifications

• Minimum of two years college level work in business, health care administration or related field.
• Enrollment and billing experience preferred.
• Minimum of 1-year supervisory experience in a health maintenance setting preferred.

Responsibilities

• Assist the Supervisor to direct the activities of the Enrollment Unit, assuring eligibility and other insurance requirements are met according to health plan’s policies and procedures and all contractual/regulatory requirements.
• Ensures compliance with HIPAA related policies in regard to all aspects of operations within Member Services.

Skills

HIPAA compliance

Education

Two years college coursework in business/health care administration

Job description

POSITION DESCRIPTION/RESPONSIBILITIES

Assist the Supervisor to direct the activities of the Enrollment Unit, assuring eligibility and other insurance requirements are met according to health plan’s policies and procedures and all contractual/regulatory requirements. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) related policies in regard to all aspects of operations within Member Services.

EDUCATION/EXPERIENCE

Minimum of two years college level work in business, health care administration or related work is required. Enrollment and billing experience preferred, health care resolving experience helpful but not required. Minimum of 1-year supervisory experience in a health maintenance setting preferred.