Enrollment Specialist

Job Summary

The Enrollment Specialist supports eligibility teams in Woodlands, TX and all other Elevate PFS service lines. The primary responsibility is to facilitate Medicaid and other government healthcare enrollments. The role requires expertise in health plan enrollment and compliance with best practices.

Essential Duties And Responsibilities

• Reviews and completes Medicaid and other health plan enrollment applications.
• Contacts high-level hospital employees via email and by phone.
• Contacts payers on a regular basis to obtain the status of enrollment applications.
• Ensures all enrollment requirements are met and updates are submitted timely.
• Updates hospital addresses with payers on a regular basis.
• Sets up online access for employees.
• Reviews and applies CMS enrollment regulation guidelines.
• Escalates any outstanding items to supervisors and Client Services team.
• Determines appropriate steps to take on account and refers accounts to appropriate inter-department roles, when needed.

Qualifications And Requirements

• 2 to 3 years’ experience working with insurance providers in role utilizing interpersonal skills.
• Understanding of health plan enrollment and terminology associated with this process.
• Ability to research trends and address positive/negative trends timely.
• Results-oriented with a positive outlook.
• Knowledge and experience working with government insurance programs and healthcare system.
• Experience implementing best practices.
• High comfort level working in a time-sensitive, diverse, and fast-paced environment.
• Adequate sense of urgency, a balance between analytical and intuitive skills, and a willingness to “roll-up sleeves” and apply these attributes.
• Demonstrated strong listening and oral communication skills on an individual and group basis on all levels; excellent writing skills.
• Adaptability - Adapts to changes in the work environment; Changes approach or method to best fit the situation.
• Communications – Exhibits good listening and comprehension, verbal and writing skills; Keeps others adequately informed.
• Excellent interpersonal skills and a collaborative management style.
• Judgment – Exhibits sound and accurate judgment; Includes appropriate people in decision-making process.
• Planning and Organizing – Uses time efficiently; Plans for additional resources; Sets goals and objectives.
• Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications.
• Proven track record of ability to work independently.
• Demonstrated ability to balance and prioritize numerous tasks, requests, systems, employee, and client urgencies.
• Ability to interface well with all departments within the company and to represent the respective executive officer in a highly professional manner.

Benefits

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles

Pay

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.