Enrollment Coordinator

Description

2 days in the office and 3 days WFH

Summary

• This position is responsible for the accurate processing of customer enrollment and billing transactions in accordance with company standards and underwriting policies.
• This position is also responsible for maintaining individual account receivable including, but not limited to, the reconciliation of adjustments to accounts, billing records, financial analysis investigation , calculations, and collection of delinquent accounts.

Duties

• Process all customer enrollment applications, terminations, and changes for applicants/members via hardcopy, fax, email or interoffice in accordance with company standards and underwriting policies.
• Assist in identifying enrollment electronic transaction error trends and escalates for in-depth analysis.
• Retrieve and analyze enrollment reports and perform corrective actions.
• Prepares correspondence or responds orally to inquiries regarding billing or enrollment.
• Reconcile daily systemic eligibility discrepancies on various systems.
• Process and respond to inquiries generated by other divisions and/or departments.
• Ensures the accurate processing of computer transactions to adjust subscriber records facilitating refunds or other billing adjustments on subscriber accounts.
• Ensures the correction of proper payment allocations to individual accounts by preparing and processing each transaction.
• Prepares daily production report and prepares unit production reports for management.
• Reviews and analyzes refunds (manual or computer generated) for accuracy prior to submitting for management approval.
• Reviews work to assure timely and accurate completion of production.
• Reviews, analyzes and calculates adjustments for computer transactions on routine and non-routine cases requiring special control including calculation of off-system rates, if necessary.
• Maintains follow-up records of cases referred to other areas or departments.
• Performs other duties incidental to the performance of the basic assignment as required by management.