Job Description
Job Title: Health Plan Enrollment Representative
Location: Sacramento, CA
Duration: 52 weeks
Schedule: Day 5x8-Hour (08:00 - 17:00)
Job Description:
Requirements:
Preferred Requirements:
Location: Sacramento, CA
Duration: 52 weeks
Schedule: Day 5x8-Hour (08:00 - 17:00)
Job Description:
Requirements:
- HS diploma or equivalent education/experience
- 1 year recent relevant experience in health plan enrollment, eligibility, insurance, or healthcare operations
- Experience with member/group enrollment, terminations, demographic updates, PCP changes, and eligibility verification
- Experience reconciling eligibility discrepancies, reviewing pending enrollment data, and processing retroactive eligibility changes
- Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint
- Experience with database management, data validation, enrollment system uploads, and file layouts
- Ability to maintain PHI confidentiality and follow audit controls, production standards, and regulatory requirements
- Ability to communicate with brokers, customers, vendors, internal teams, and Member Services to resolve enrollment issues
Preferred Requirements:
- Working knowledge of health insurance enrollment and eligibility practices
- Familiarity with DMHC regulations, managed care, reimbursement models, payer relationships, and pricing mechanisms
- Experience with Microsoft Access, SQL Server, spreadsheet solutions, or FSA file layouts
- Strong attention to detail, organization, time management, and ability to manage multiple priorities
- Analytical, negotiation, and project coordination skills
- Ability to support open enrollment and annual enrollment readiness with cross-functional teams
Numbers & Facts
| Location | Sacramento, CA |
| Industry | Other/Not Classified |
| Salary | $24–$25 Per Hour |
| Company Size | 100 to 499 employees |
| Year Founded | 1998 |
| Website | www.eteaminc.com |
About Company
Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.
Skills
- Analysis Skillsunmatched
- Brokerageunmatched
- Communication Skillsunmatched
- Cross-Functionalunmatched
- Data Qualityunmatched
- Database Administrationunmatched
- Database Technologyunmatched
- Demographicsunmatched
- Detail Orientedunmatched
- File Systemsunmatched
- Flexible Spending Accountsunmatched
- Health Insuranceunmatched
- Health Plan Membershipunmatched
- Healthcareunmatched
- Healthcare Reimbursementunmatched
- Insuranceunmatched
- Managed Careunmatched
- Microsoft Access Databaseunmatched
- Microsoft Excelunmatched
- Microsoft Officeunmatched
- Microsoft PowerPointunmatched
- Microsoft SQL Serverunmatched
- Microsoft Wordunmatched
- Multitaskingunmatched
- Negotiation Skillsunmatched
- Organizational Skillsunmatched
- Pricingunmatched
- Problem Solving Skillsunmatched
- Production Controlunmatched
- Project/Program Coordinationunmatched
- Reconciliationunmatched
- Regulationsunmatched
- Regulatory Requirementsunmatched
- Spreadsheetsunmatched
- Time Managementunmatched
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