Commercial Enrollment Specialist II
Hybrid · United States
Core
Ensuring accurate enrollment and maintenance of member data by researching and resolving enrollment discrepancies for health insurance clients.
Role type
Enrollment Specialist
Builds
Accurate member enrollment records and remittance files
Domain
Health Insurance / Healthcare Operations
Required skills
State/Group/ACA enrollment transaction processing, Enrollment guidelines knowledge, Data integrity management, System rejection resolution, Eligibility data entry
Preferred skills
Medicare Advantage Enrollment experience
Responsibilities
Reconcile and correct enrollment-related issues, Enter daily eligibility data from exception reports, Collaborate on process documentation and quality reviews, Maintain communication with management to ensure case accuracy
Seniority
Mid-level, individual contributor