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Enrollment Specialist

External
Psgglobalsolutions2 logoPsgglobalsolutions2 · Southfield, MI
ContractOn-site106mo ago
ComplianceDocumentation
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Benefits

Dental insuranceVision insurance

Additional Information

3 Months (possible to extend) - Review and process enrollment transactions and interpret with accuracy. - Details data entry (enrolling Individual applications, short term applications, dental enrollment applications, Return mail, and other misc. changes). - Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards. - This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information. - Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters. - Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies. - Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner. - Courteously provide customers with information and education concerning government program enrollment processes and requirements. - Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process. - Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process. Required Experience: - Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data - High School diploma - Required - Must have attention to detail and team-oriented - Must have excellent communication skills - Excellent analytical and problem-solving skill are required - Decision-making skills are essential as is the ability to assume responsibilities as delegated - Must have strong organizational skills, with attention to detail and ability to multi-task, mange multiple priorities and meet deadlines. Preferred Experience: - Associate's Degree Preferred - Enrollment Position Experienced - Experience with Marketplace/Medicare regulations - Excellent computer skills proficiency with Microsoft Office applications - Managed care experience This is an urgent job opportunity. Please send your updated resume to mevangelista@visionproteam. com or call me at my number 3 13-279-1020.


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