Insurance Enrollment Processor

Responsibilities

• Processes and maintains manual and electronic enrollment information.
• Researches eligibility and claims and updates system with correct information.
• Maintains and updates enrollment, files, and processes coordination of benefits claims.
• Processes medical claims involving enrollment and coordination of benefits laws and regulations.
• Collaborates with insurance providers to coordinate member insurance information.
• Adheres to department quality and production processing standards.
• Serves as a liaison between the organization and insurance providers.

Requirements

• Knowledge of Medicaid, commercial insurance, and Medicare.
• Demonstrated proficiency in the use of Microsoft Office software.
• Strong written and verbal communication skills.

Qualifications

• Associate's degree, or equivalency which could include two years of experience in insurance, medical claims processing, and benefits enrollment processing.
• Preferred: Working knowledge of relevant healthcare regulations and policies.