Enrollment Representative II
About the role
The Enrollment Analyst II supports the accuracy and maintenance of member eligibility by processing enrollment forms, change requests, and group updates. They also review and manage member records, resolve discrepancies, support EDI file processing, and collaborate with internal teams and employer groups to ensure timely and accurate eligibility and billing operations.
Essential Duties
- Process enrollment forms/spreadsheets for new and existing groups including COBRA
- Process change of address forms
- Review and process enrollment changes including adding/removing dependents and effective/term date adjustments
- Research and correct ID cards returned with missing addresses
- Addresses vision error reports
- Afford assistance in working electronic group error reports when necessary
- Quality assurance review of enrollments for other Eligibility Representatives
- Maintain communication with all internal departments and employer groups
- Support training of new Enrollment employees
- Completes special projects as assigned by management; performs tasks necessary to ensure efficient and cost-effective operation of the eligibility department
- Review and update of automated reporting as assigned
- Work with groups, TPA’s and internal departments for TPA changes of EDI files, provide testing and approval for production
- Provide discrepancies for large and or complex groups
- Process EDI files as assigned
- Act as a liaison for groups and brokers regarding enrollment-related inquiries
- Address emails submitted to the Enrollment inbox as needed for back-up
- Process enrollment forms/spreadsheets for new and existing electronic groups as needed
- Ensure compliance with HIPAA and other regulatory requirements
- Support the eligibility call center
- Completes special projects as assigned by management; performs tasks necessary to ensure efficient and cost-effective operation of the eligibility department
About You
You’re organized, detail-oriented, and take pride in getting things right. You enjoy working behind the scenes to keep things running smoothly and don’t mind juggling multiple tasks in a fast-paced environment. You’re a natural problem-solver who can spot and fix issues quickly, and you’re comfortable working independently while still being a great team player. You communicate clearly, stay proactive, and take ownership of your work, people can count on you to be reliable, accurate, and easy to work with. Sound like you? Keep reading, we’d love to tell you more!
Competencies
- High school diploma or equivalent required
- 1-3 years’ administrative experience required; dental insurance knowledge preferred
- Proficient in MS Word, Excel, and 10-key
- Ability to solve problems quickly and automate processes
- Self-motivated and must work with minimal supervision
- 2-4 years in a related role
- 2-4 years Dental insurance knowledge required
About Us
Delta Dental of Arizona’s vision is simple: healthier lives for everyone. That’s why we’ve made it our mission to create a path to better health and wellness. We’re transforming from a single line insurance company to a multi-line health and wellness organization with a foundation that has awarded millions in grants to non-profits who care for our most vulnerable residents by offering dignity and hope.
Our employees enjoy competitive compensation and comprehensive benefits, including medical, dental, vision, 401(k), student loan assistance, six weeks of paid parental leave, volunteer PTO, and a culture that embraces collaboration, service, integrity, and inclusion.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. The pay range for this position is $18.61 - $24.56 per hour. This position is fully remote.