Member Enrollment Specialist

About the Role

Quartz is seeking detail-oriented individuals to join our growing Member Enrollment team. In this role, you will process enrollment transactions, apply eligibility rules, and ensure accurate health benefit selections for members in a fast-paced, ever-changing environment.

Responsibilities

• Process enrollment transactions, including entering new member benefit selections, disenrolling members, and applying eligibility rules to process member benefit changes.
• Process, review, and compare electronic and roster files; investigate and update other insurance; and generate enrollment-related reports.
• Work closely with members, group contacts, agents, and regulatory agencies to answer enrollment-related and eligibility inquiries, ensuring compliance with all regulations.
• Identify and resolve issues, including reconciling eligibility discrepancies.
• Maintain knowledge of enrollment regulations, such as effective dates, termination dates, and other eligibility-related requirements.

Requirements

• Associate’s Degree preferred, with 1+ years of experience in the health insurance industry or healthcare field OR High School Diploma or equivalent, with 4+ years of experience in a professional setting with exposure to transactional processing.
• Fundamental knowledge of health insurance practices, regulations, procedures, or medical terminology.
• Proficiency with web-based applications and Microsoft programs; experience with Epic applications is preferred.
• Ability to work on a computer regularly to perform assigned tasks.
• Excellent active listening, written, and verbal communication skills.
• People-oriented with empathy, compassion, and a willingness to help.
• Strong multitasking skills to navigate multiple computer applications and manage priorities in a fast-paced environment.
• Works well in a team environment and independently as a telecommuter.
• Excellent attendance record.
• Must have access to high-speed, non-satellite Internet for remote work.
• Ability to commute to one of our offices in Madison, WI or Onalaska, WI at least 1-2 times per year may be required.

Benefits

• Starting pay: $21/hr.
• Full-time virtual, telecommuting, work-from-home environment.
• Consistent schedule: 8:00 am–5:00 pm, Monday–Friday.
• Paid training and opportunities for growth and professional development.
• Supportive, inclusive work environment.
• Comprehensive benefits and compensation package.
• Hardware and equipment provided by the company.