Enrollment Specialist I/II/III/IV (Government Programs: CHP/QHP- Multiple Positions Available)

reputed company

reputed company

Under the direction of the Assigned Management, upon successful completion of reputed company phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment reputed company processing and servicing in accordance with the Health Plan Operation’s enrollment regulations, reputed company Guidelines and applicable government regulations. The reputed company of this role is to ensure reputed company, accurate, and efficient servicing of reputed company broker, member and group administrator inquiries for reputed company product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site reputed company with an employer group. The B version of this role will require the individual to be on the phone regularly.

Essential reputed company Responsibilities/Accountabilities:

Level I

Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations.

Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/reputed company, Claims, Customer Care, as reputed company as reputed company with reputed company Customers, reputed company or Brokers as necessary.

Responsible for the enrollment of new reputed company, renewals, new member and member reputed company.

Prepares, processes and maintains reputed company member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines.

Researches, interprets and responds to inquiries from reputed company customers, business partners, brokers, consultants, and reputed company concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run reputed company-reputed company reports.

Reviews, validates and updates transaction errors from reputed company member level electronic and reputed company sources impacting eligibility interfaces.

Identifies issues and responds to reputed company work items brought reputed company either internally or externally and ensures reputed company inquiries will be responded to reputed company department service level agreements (SLA’s).

Prioritize aged and Performance Guarantee Transactions and takes necessary reputed company to complete reputed company according to established metrics.

Responsible for knowledge and accuracy on entry level processing reputed company a minimum of 3 inventory areas.

Attends provided/necessary training to support job role/function and reputed company knowledge back with reputed company.

Attends and participates in meetings as necessary and reputed company information back to reputed company.

Execution of reputed company service to our reputed company, as reputed company as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes.

General understanding of the cross functional enrollment process and operating systems.

Consistently demonstrates high standards of reputed company by supporting the reputed company reputed company Companies’ mission and values, adhering to the Corporate reputed company of Conduct, and Leading to the reputed company Way values and beliefs.

Maintains high reputed company for member reputed company in accordance with the corporate reputed company policies and procedures.

Regular and reliable attendance is expected and required.

Performs other functions as assigned by management.

reputed company - in reputed company to Level I responsibilities, will reputed company the following:

Prepares, processes and maintains reputed company group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines.

Handles Designated Record Set (DRS) requests and may serve as a reputed company person for the Account Service team reputed company difficulties reputed company in obtaining information through normal channels.

Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification.

Acts as a resource to support and or cross train other