Enrollment Coordinator

Position Overview

We are seeking a detail-oriented and customer-focused Enrollment Coordinator to support member enrollment activities in a fast-paced healthcare environment. This role is responsible for processing enrollment requests accurately and efficiently while ensuring compliance with applicable state and federal regulations, accreditation standards, and internal policies.

Key Responsibilities

• Process enrollment requests accurately and within established turnaround times while maintaining compliance with regulatory and accreditation requirements.
• Review, analyze, enter, and maintain member enrollment data within the Facets system and other databases.
• Audit enrollment files to ensure documentation is complete, organized, secure, and compliant with company policies and procedures.
• Provide courteous and professional support to internal and external customers regarding enrollment processes, eligibility requirements, COBRA regulations, and HIPAA guidelines.
• Research and investigate enrollment-related issues, customer inquiries, and discrepancies to ensure timely resolution.
• Perform account and case reconciliation activities as needed.
• Monitor enrollment inventory and customer inquiries to ensure service-level expectations are met.
• Maintain accurate membership records across various systems and databases.
• Collaborate with internal departments and external partners to facilitate enrollment processing and problem resolution.
• Communicate enrollment status updates through system documentation, phone calls, written correspondence, and approved form letters.
• Escalate critical customer concerns to leadership when appropriate.
• Stay current on state and federal regulations, accreditation standards, and healthcare enrollment requirements.

Required Qualifications

• A High School Diploma or GED equivalent.
• Minimum of 2 years of experience in a healthcare-related field.
• Strong data entry and organizational skills with high attention to detail.
• Excellent communication and customer service skills.
• Ability to manage multiple priorities and work independently in a remote environment.
• Quick learner with the ability to adapt to new systems and processes.

Preferred Qualifications

• An Associate's Degree.
• Previous enrollment or member services experience.
• Experience working with Medicare and Medicaid regulations.
• Experience using Facets or similar healthcare enrollment systems.

Preferred Skills

• Enrollment processing and membership maintenance.
• Healthcare eligibility and enrollment knowledge.
• Knowledge of COBRA and HIPAA regulations.
• Data analysis and problem resolution.
• Customer service and stakeholder communication.
• Ability to work effectively in a team-oriented environment.