Enrollment Associate

Description

Job Summary:

• The Enrollment Associate I is intended as MHS entry level position, responsible for analyzing and maintaining accurate membership eligibility and benefit plan information using the different health plan websites to enroll members through Client System application.
• The Enrollment Associate I works under direct supervision from more senior members of the enrollment team, and/or Claims management.
• The role is responsible for the accurate and timely response to all member eligibility requests and is accountable for the success of the assigned task.

Job Responsibilities:

• Manage personal queue, issues and tickets in ServiceNow and Workfront: Complete documentation, contract information and follow-up communication once issue is resolved.
• Maintain regular user contact and attend relevant meetings, and assists with contact for IS to ensure communication, collaboration, and teamwork. Identify and resolve problems and issues that arise in the application.
• Develops and maintains an ongoing awareness of Client information systems initiatives, emerging technologies, and relevant laws and regulations in providing ongoing and competent support for assigned areas of responsibility.
• Complies with all Claims/IS Policies, Procedures and Standards including: Project Management tools/methodologies, Network/Systems Workstation Security, HIPAA Privacy and Security Regulations associated with Electronic Protected Health Information (ePHI).
• Be at work and be on time.
• Follow company policies, procedures and directives.
• Interact in a positive and constructive manner.
• Prioritize and multitask.
• Manage personal queues, issues or calls from customers for assistance. Complete documentation, contact information and follow-up communication once issue is resolved.
• Accurately update member eligibility information by verifying eligibility and benefit information using the various health plan websites. When necessary, communicate with the health plans by asking appropriate questions and being familiar with the terminology used. Effectively navigate through the system of record application to enroll these members.
• Resolve routine problems and issues associated with assigned applications to ensure high levels of availability and user satisfaction. Maintain contact with users and senior team members to ensure understanding of needs, assignments, and overall goals.

Skills: 

Required Skills & Experience:

• Ten (10) key skills. Accurate data entry or typing skills necessary.
• Basic insurance knowledge.
• Good written and verbal communication skills.

Education:     

Required Education:

• High school graduate or equivalent.