Enrollment Associate

Clever Care Health Plan•Huntington Beach, CA

6d•$20 - $25

About The Position

The Enrollment Associate is responsible for assisting with the enrollment process. They support the onboarding of new members by collecting and verifying enrollment data, ensuring accuracy and completeness. The associate may communicate with applicants to gather missing information, answer inquiries, and provide guidance throughout the enrollment process. They collaborate with internal teams to coordinate and track enrollment activities, maintaining documentation and records. The Enrollment Associate plays a vital role in ensuring a smooth and efficient enrollment experience for individuals joining the plan.

Requirements

Associate's Degree or equivalent combination of education and experience
One (1) to three (3) years’ experience in Medicare Managed Care Preferred
One (1) year experience with data entry and use of Microsoft Office
Must be well-organized and detail orientated.
Professional demeanor, with strong and excellent customer service skills.
Fast-learner
Ability to work in multiple computer systems
Ability to enter and retrieve data using standardized keyboard functions
Ability to read and interpret technical procedures or government regulations
Ability to write basic correspondence and perform basic arithmetic
Adaptability to change
Proficient in Microsoft Excel and World
Strong data entry skills (55 wpm preferred)
Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.
Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Nice To Haves

Knowledge of Medicare guidelines a plus

Responsibilities

Responding to internal and external customer inquiries
Addressing and resolving issues, questions and/or concerns regarding enrollment through claims, call tracking, or e-mail.
Creating and maintaining records in the eligibility transactional system
Entering enrollment applications into the company’s database system
Process enrollment and dis-enrollments
Verify enrollment status with clients
Research and resolve enrollment system rejections.
Works with colleagues to resolve exceptions and takes appropriate action to ensure members are properly enrolled.
Maintain records in the enrollment database.
Manage and maintain member eligibility change data
Conducts daily and monthly reconciliation of files
Verifies accuracy of entered data against sourced documents
Other duties as assigned.