Enrollment Specialist

• Process enrollment transactions for our Commercial Group Employers with accuracy.

• Standard hours must be worked in office.

• OT hours will be allowed to be worked from home/remotely.

Required Experience:

• Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data.

• High School diploma.

• Excellent computer skills proficiency with Microsoft Office applications.

Job Responsibilities:

• Promptly and effectively process all commercial 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.

• Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards.

• 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.

• Able to follow directions without supervision

• Periodic over-time hours are required throughout the assignment and especially during holidays.