Enrollment Coordinator

W2 candidates only.

About Stefanini Group

The Stefanini Group is a global provider of offshore, onshore, and near-shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises. With a presence in countries across the Americas, Europe, Africa, and Asia, Stefanini serves over four hundred clients in markets including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM Level 5 IT consulting company.

Responsibilities

• Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards, including timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
• Facilitate problem resolution through investigation and collaboration as needed.
• Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards.
• Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures.
• Courteously provide internal and external customers with information and education regarding government programs enrollment process, eligibility, COBRA, and HIPAA regulations.
• Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
• Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
• Perform reconciliation work on accounts/cases.
• Ensure inventory of enrollments and customer inquiries are resolved within established guidelines.
• Monitor and maintain data content of membership via various databases.
• Maintain general knowledge of other functional areas of the system and public health (PH) to better assess impacts on enrollments.
• 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.
• Accurately communicate to leadership critical customer issues.

Requirements

• High School Diploma or equivalent (required).
• Associate's Degree (preferred).
• Two years of relevant experience.
• Two years of experience in a health-related field (required).
• Enrollment position experience (preferred).
• Experience with Medicare/Medicaid regulations (preferred).

Skills

• Quick learner.
• Previous enrollment experience preferred.