Enrollment Specialist

Job Description

This position is not remote initially but with exceeding all metrics there is the opportunity for remote after training 

• Ensure compliance with all corporate and departmental standards 

• Follow all Client policies and procedures on updates to Health Exchange policies. This includes; Adding a new enrollment, adding a dependent, reinstating a member, adding or modifying a State subsidy, broker changes, PCP changes, Termination, etc. 

• Attention to detail 

• Meet all quality and production metrics. 

• Must be schooled in enrollment or Health Plan operations background such as claims processing. 

• Ability to communicate effectively with Trainer and Leadership to clarify correct processing 

• Team player that can be trusted to work independently and accept constructive guidance on any issues. 

• Self-starter that will take accountability for correct processing and refer to training material throughout processing. 

• Innate ability to maneuver around a keyboard with proficiency 

• Ability to multi-task on two platforms one being information from the State and the other the Client’s platform. 

• Ability to work flexible day hours and possible overtime.