Enrollment Coordinator

Stefanini Group•Southfield, MI

1d•Remote

About The Position

Stefanini Group is hiring! Stefanini is looking for an Enrollment Coordinator - Remote. Responsibilities include promptly and effectively processing all enrollment requests in compliance with all regulatory requirements and accreditation standards. This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information. Facilitate problem resolution through investigation and collaboration as needed. The role requires processing enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards. It also involves auditing enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures. The Enrollment Coordinator will courteously provide internal and external customers with information and education regarding the government programs enrollment process, eligibility, COBRA and HIPAA regulations. Maintaining an understanding of state and federal requirements and accreditation standards that impact the enrollment process is crucial. Conducting research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner is also part of the role. Performing reconciliation work on accounts/cases and ensuring inventory of enrollments and customer inquiries are resolved within established guidelines are key functions. Monitoring and maintaining data content of membership via various databases, and maintaining general knowledge of other functional areas of the system and PH to better assess impacts on enrollments are also required. Communicating as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters, and accurately communicating critical customer issues to leadership are essential. The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company.

Requirements

High School Diploma or equivalent
2 years of relevant experience
Two years of experience in a health related field.
Quick learner
Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards.
Timely entry and maintenance of data after review and analysis of electronic and hard copy information.
Facilitate problem resolution through investigation and collaboration as needed.

Nice To Haves

Associate's Degree
Enrollment position preferred.
Experience with Medicare/Medicaid regulations.
Previous enrollment experience preferred.

Responsibilities

Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards.
Timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
Facilitate problem resolution through investigation and collaboration as needed.
Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards.
Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures.
Courteously provide internal and external customers with information and education regarding the government programs enrollment process, eligibility, COBRA and HIPAA regulations.
Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
Perform reconciliation work on accounts/cases.
Ensure inventory of enrollments and customer inquiries are resolved within established guidelines.
Monitor and maintain data content of membership via various databases.
Maintain general knowledge of other functional areas of the system and PH to better assess impacts on enrollments.
Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters.
Accurately communicate to leader critical customer issues.