Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by:
Support unit in performing enrollment and billing reconciliations activities for purpose of identifying discrepancies and initiating accurate and timely correction/resolution of internal as well as external processing systems.
Support unit in daily enrollment functions to include processing of enrollments, disenrollment's and maintenance for members.
Perform quality assurance audits of customer inquiries and member updates within constrained timeframes. Based on patterns or risk assessment, recommend improvement opportunities to provide processing efficiency and increase customer satisfaction. These can include but are not limited to identifying processing or servicing issues that can be addressed by a system or a workflow solution
Training and Development
Performs all other miscellaneous responsibilities and duties as assigned or directed.
Associate's degree and one year of related work experience or equivalent combination of education and experience.
Effective verbal and written communication skills.
Requires attention to detail and the ability to work on multiple projects simultaneously.
Working knowledge of general office practices and procedures.
Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.