Enrollment Specialist

Responsibilities and duties:

• Responding to internal and external customer inquiries
• Addressing and resolving issues, questions, and/or concerns regarding enrollment through claims, call tracking, or email.
• Creating and maintaining records in the eligibility transactional system
• Entering enrollment applications into the company’s database system
• Process enrollment and dis-enrollments
• Verify enrollment status with clients
• Research and resolve enrollment system rejections.
• Works with colleagues to resolve exceptions and takes appropriate action to ensure members are properly enrolled.
• Maintain records in the enrollment database.
• Manage and maintain member eligibility change data
• Conducts daily and monthly reconciliation of files
• Verifies accuracy of entered data against sourced documents
• Other duties as assigned.

Requirements:

• Associate's Degree or equivalent combination of education and experience
• One (1) to three (3) years’ experience in Medicare Managed Care Preferred
• One (1) year of experience with data entry and use of Microsoft Office
• Knowledge of Medicare guidelines a plus
• Must be well-organized and detail-oriented.
• Professional demeanor, with strong and excellent customer service skills.
• Fast-learner
• Ability to work in multiple computer systems
• Ability to enter and retrieve data using standardized keyboard functions
• Ability to read and interpret technical procedures or government regulations
• Ability to write basic correspondence and perform basic arithmetic
• Adaptability to change
• Proficient in Microsoft Excel and Word
• Strong data entry skills (55 wpm preferred)