Enrollment Processor
Core
Process enrollments, terminations, and changes through the system while answering client questions regarding enrollment procedures.
Role type
Enrollment & EDI Processor
Builds
Daily reports and accurate feedback to vendors on items needing review
Domain
Health insurance administration / EDI transactions
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
834 EDI transactions knowledge, loop structures, segments, implementation guidelines, Excel (intermediate), policy and procedures adherence
Preferred skills
Prior insurance experience
Responsibilities
Process enrollments, terminations, and changes; Answer client questions regarding enrollment procedures; Review daily reports from EDI loads; Provide prompt and accurate feedback to vendors on items needing review; Troubleshoot ongoing file issues
Seniority
Individual Contributor