Enrollment and Eligibility Service Assistant I

MagnaCare•Las Vegas, NV

3d•Onsite

About The Position

This is a fully on-site, member-facing role bilinguel role based at the Culinary Health Fund Customer Service Office (1901 Las Vegas Blvd. South, Las Vegas, Nevada). In this position, you will serve as a key resource for members, supporting in-person transactions, eligibility and enrollment inquiries, and premium-related matters while delivering a high-quality service experience. You will work closely with internal teams—including Customer Service, IT, and Accounts Payable—to resolve issues, ensure data accuracy, and support timely, effective service for members. This is a bargaining unit position represented by POPA.

Requirements

Ability to work alternate schedules/hours based on the business’s need.
2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
Knowledge of managed care, labor and commercial carrier enrollment and eligibility procedures including hourly based eligibility and waiting periods.
Moderate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Ability to work independently

Nice To Haves

Prior experience with premium billing and reconciliation, knowledge of 834 eligibility files and transaction sets a plus.
Fluent in COBRA, FMLA, QLE’s and other eligibility related transactions a plus.

Responsibilities

Handles in-person member transactions by collecting cash and credit card payments, accurately processing payments, issuing receipts, and providing correct change while maintaining strict adherence to financial controls and confidentiality requirements.
Verify the loading new member or group data into the enrollment database & update the database with changes
Responding to member eligibility or group questions & verify enrollment status
Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes
Inventory control of member and group transactions
Support the Eligibility Call Center Representatives
Ability to work with various types of member communication
Working with our IT department to investigate and validate member eligibility
Works directly with the Accounts Payable team to review and resolve any premium issues including outreach to members, clients and State officials as needed
Communicate effectively with individuals/teams in the program to ensure high quality and timely expedition of customer requests
Participate in activities designed to improve customer satisfaction and business performance.
Use decision-support tools to answer questions, where needed.
Solve problems that are sometimes unstructured and that may require reliance on conceptual thinking. Work is frequently completed without established procedures
Maintain broad knowledge of client requirements, procedures and key contacts.
Support projects and other departments in completing tasks/projects
Other duties as required