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Enrollment Specialist

PSGGlobalSolutions2 · Southfield, MI
Category Other
Posted 9y ago
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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.