Enrollment Specialist - Commercial

What are important things that YOU need to know about this role?

• Temp to Hire

• Strong attention to detail is required

What will YOU be doing for us?

• Responsible for accurate, timely updating of member enrollment records to reflect correct effective/termed eligibility dates and benefit plans per client specific requirements within SLAs.

• Coordinate work with multiple departments (Claims intake, Dental Review) to ensure that enrollment changes are handled timely and accurately and client turnaround times are met. 

• Support member fulfillment requests which include but are not limited to, ordering ID cards, member manuals, provider directories, and welcome letters

• Assist with Claims Intake on researching member records for claim entry as necessary.

• Perform follow-up with internal departments and management team on status of any open enrollment issues or risks to not meeting client requirements.

• Identify potential efficiencies and workflow improvements based on knowledge of industry and internal business practices

• Serve as subject matter expert (SME) for enrollment related projects or workflow improvements.

• Maintain collaborative relationships with clients supporting enrollment activities.

• Act as a liaison for internal and external communications between the client and internal team members.

• Maintain effective relationships and understanding of workflows to facilitate quick and effective resolutions to client concerns.

• Review EDI file feeds and ID cards for enrollment discrepancies

Additional Responsibilities:

• Answer incoming calls as needed to provide back up to the call center.

• Identify and update management of changes in client, policy and procedures and enrollment related processes.

• All other reasonably related duties as assigned.

What qualifications do YOU need to have to be GOOD candidate?

• Required Level of Education, Licenses, and/or Certificates

  • High school diploma or equivalent.

• Required Level of Experience

  • 1-3 years of related experience in administrative support, data entry and/or customer service.

• Required Knowledge, Skills, and Abilities

  • Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and email.

  • Ability to maintain a flexible work schedule.

  • Strong data entry/typing skills

  • Excellent attention to detail

  • Ability to multi-task

  • Ability to work independently or in a group setting

What qualifications do YOU need to have to be a GREAT candidate

• Preferred Level of Experience

  • Previous insurance industry experience

• Preferred Knowledge, Skills, and Abilities

  • Experience with medical/dental claims

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range:

$34,741.00 - $52,111.00

Compensation Midpoint:

$43,426.00