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Enrollment Representative II
Job Description:
- Process enrollment forms/spreadsheets for new and existing groups including COBRA
- Process change of address forms
- Review and process enrollment changes including adding/removing dependents and effective/term date adjustments
- Research and correct ID cards returned with missing addresses
- Addresses vision error reports
- Assist in working electronic group error reports when necessary
- Quality assurance review of enrollments for other Eligibility Representatives
- Maintain communication with all internal departments and employer groups
- Support training of new Enrollment employees
- Completes special projects as assigned by management; performs tasks necessary to ensure efficient and cost-effective operation of the eligibility department
- Review and update of automated reporting as assigned
- Work with groups, TPA’s and internal departments for TPA changes of EDI files, provide testing and approval for production
- Provide discrepancies for large and or complex groups
- Process EDI files as assigned
- Act as a liaison for groups and brokers regarding enrollment-related inquiries
- Address emails submitted to the Enrollment inbox as needed for back-up
- Process enrollment forms/spreadsheets for new and existing electronic groups as needed
- Ensure compliance with HIPAA and other regulatory requirements
- Support the eligibility call center
Requirements:
- High school diploma or equivalent required
- 1-3 years’ administrative experience required; dental insurance knowledge preferred
- Proficient in MS Word, Excel, and 10-key
- Ability to solve problems quickly and automate processes
- Self-motivated and must work with minimal supervision
- 2-4 years in a related role
- 2-4 years Dental insurance knowledge required
Benefits:
- medical
- dental
- vision
- 401(k)
- student loan assistance
- six weeks of paid parental leave
- volunteer PTO