Enrollment Specialist I
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About The Position
The Enrollment Specialist will be responsible for the creation and maintenance of eligibility in the transactional system, responding to both internal and external customer inquiries, and resolving issues to meet or exceed service requirements. To successfully perform the role, an Enrollment Specialist must have a comprehensive understanding of enrollment regulations and complete all duties with strict regard to policies and procedures. Completes all duties with strict regard to policies and procedures set forth by the Enrollment Services Manager, Centers for Medicare and Medicaid Services (CMS), Pennsylvania Department of Welfare (DPW), and Pennsylvania Insurance Department (PID). Performs duties related to the processing and maintenance of all member-requested transactions, including generation of required letters to ensure enrollment and/or disenrollment processes are completed compliantly. Interacts with both internal and external customers to address and resolve inquiries or complaints. This position offers a hybrid work structure, with in-office attendance required as needed. During the initial training period, you will be required to work in a hybrid structure with in-office attendance. A remote work option will be made available following the completion of your training.
