Enrollment Data Specialist
JOB SUMMARY
The Enrollment Data Specialist performs operational solutions to optimize membership enrollment and premium billing accuracy and collaborates and supports internal and external customers. This position researches and reconciles systemic eligibility/enrollment or premium billing/payment discrepancies to arrive at a consistently compliant disposition and operates in a fast-paced environment with frequent priority changes.
MINIMUM QUALIFICATIONS
Education/Specialized Training/Licensure: High school diploma
Work Experience (Years and Area): Two (2) years related experience with health insurance, managed care, or customer service; Knowledge of eligibility files/premium billing, Medicaid, Marketplace, Medicare preferred
Management Experience (Years and Area): N/A
Software Operated: Microsoft Office (Word, Excel, and Outlook), SQL a plus
SPECIAL REQUIREMENTS
Communication Skills: Exceptional Verbal (e.g., Public Speaking); Writing/Composing: Correspondence/Reports
Other Skills: Mathematics, Medical Terminology, Research, Statistical
Advanced Education: Not applicable
Work Schedule: Flexible, Overtime
Other Requirements: Excellent interpersonal, verbal, written, and listening communication skills with a high level of comfort in recommending and implementing solutions. Strong analytical, problem-solving, mathematical, organizational, prioritization, and time management skills. Ability to work efficiently, pay strong attention to detail and deliver high quality results in a deadline-driven environment, while effectively managing associated stress.
RESPONSIBLE TO
Supervisor/Manager
EMPLOYEE SUPERVISED
N/A