Enrollment Specialist
PSGGlobalSolutions2 · Southfield, MI
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Job description
Company Description Healthcare company Job Description 3 Months (possible to extend)
- Review and process enrollment transactions and interpret with accuracy.
- Details data entry (enrolling Individual applications, short term applications, dental enrollment applications, Return mail, and other misc. changes).
- Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards.
- This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
- Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters.
- Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies.
- Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
- Courteously provide customers with information and education concerning government program enrollment processes and requirements.
- Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
- Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process.
Qualifications
Required Experience:
- Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data
- High School diploma - Required
- Must have attention to detail and team-oriented
- Must have excellent communication skills
- Excellent analytical and problem-solving skill are required
- Decision-making skills are essential as is the ability to assume responsibilities as delegated
- Must have strong organizational skills, with attention to detail and ability to multi-task, mange multiple priorities and meet deadlines. Preferred Experience:
- Associate's Degree Preferred
- Enrollment Position Experienced
- Experience with Marketplace/Medicare regulations
- Excellent computer skills proficiency with Microsoft Office applications
- Managed care experience Additional Information This is an urgent job opportunity. Please send your updated resume to mevangelista@visionproteam. com or call me at my number 3 13-279-1020.