Enrollment Eligibility Representative II

Centene Corporation

2d•$16 - $27

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Processes and maintains eligibility information for routine individual and/or employer groups under general supervision.

Requirements

High School diploma or equivalent required.
Two years general office work experience with attention to detail.

Nice To Haves

One year previous experience in an HMO insurance or medical setting preferred.
Medicare enrollment processing experience highly preferred.

Responsibilities

Maintains accurate eligibility records for individuals and/or assigned employer groups
Process all enrollments; plan changes, and disenrollment transactions
Reviews aging to determine delinquent accounts, membership reconciliation issues from premium issues
Produces and distributes delinquent notices to members
Provides daily support on incoming verbal or written correspondence enrollees regarding eligibility and processing status
Communicates policies, procedures and benefits to employees, enrolled members or, if applicable, employers
Interacts with staff in other departments to clarify and resolve eligibility problems presented by members
Provides cross training and back-up assistance to other enrollment groups
Provides support within service operations as needed such as Membership Accounting
Performs other duties as assigned
Complies with all policies and standards