Enrollment & Eligibility Services Assistant I - Office

MagnaCare • Las Vegas, NV

2d

About The Position

This role focuses on processing enrollment applications and eligibility updates for various coverage types, including active, COBRA, retiree, and disability. The assistant will verify dependent documentation, handle qualifying life events and COBRA enrollments, and support retiree transitions. Key tasks include updating carrier portals, applying employer data for eligibility, assisting with batch processing, and communicating with members and employers to gather necessary information. The position also involves supporting open enrollment, employer onboarding, maintaining HIPAA compliance, and assisting with audits and data cleanup. Complex issues will be escalated to the Team Lead or Management.

Requirements

• Proficiency in processing enrollment applications and eligibility updates.
• Experience with verifying dependent documentation.
• Ability to handle qualifying life events (QLEs) and COBRA enrollments.
• Familiarity with retiree transitions and Medicare coordination.
• Experience updating carrier and vendor portals.
• Skill in applying employer-submitted data for eligibility.
• Experience with batch processing of rosters, terminations, and reinstatements.
• Ability to conduct outreach to members and employers.
• Experience with delinquency tracking and following up on missing files/payments.
• Strong communication skills for responding to inquiries from members, HR, and employers.
• Experience assisting with open enrollment processing.
• Knowledge of employer onboarding processes.
• Understanding of HIPAA and internal privacy standards.
• Experience with audit preparation, eligibility reporting, and data cleanup.
• Ability to escalate complex issues.

Responsibilities

• Process standard enrollment applications and eligibility updates for active, COBRA, retiree, and disability coverage in accordance with plan rules.
• Review, verify, and validate dependent documentation (e.g., birth certificates, marriage licenses, guardianship forms) and update records under guidance.
• Handle routine qualifying life events (QLEs), COBRA enrollments, and generate standard self-pay notices.
• Support retiree transitions, including Medicare coordination and self-pay enrollment intake.
• Perform routine updates to carrier and vendor portals for enrollments, terminations, and demographic changes.
• Apply employer-submitted hours and demographic data to maintain accurate eligibility records.
• Assist with nightly batch processing of rosters, terminations, and reinstatements.
• Conduct outreach to members and employers to collect missing or incomplete documentation, including for dependent verification.
• Follow up with employers regarding late or missing hours files and contribution payments as part of the delinquency tracking process.
• Respond to standard inquiries from members, HR departments, and employers regarding eligibility status, documentation, and plan rules.
• Assist with open enrollment processing, including intake, verification tracking, and updates.
• Support employer onboarding efforts by assisting with portal use and file submission protocols under supervision.
• Maintain compliance with HIPAA and internal privacy standards in all communications and record handling.
• Assist with audit preparation, eligibility reporting, and data cleanup projects as directed.
• Escalate complex or unclear eligibility issues or employer data discrepancies to the Team Lead or Management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed