Enrollment Specialist I

Menasha•Menasha, WI

1d•Hybrid

About The Position

Network Health’s success is driven by our mission to enhance the life, health, and wellness of the people we serve. This commitment guides our decisions, including the talented individuals we bring onto our team. We are currently seeking an Enrollment Specialist I to support enrollment, disenrollment, fulfillment, reconciliation, and related activities across all Network Health products. This role involves collaborating with internal and external stakeholders to ensure timely transaction processing while maintaining compliance with state and federal regulations. Key responsibilities include: Managing enrollment and disenrollment processes efficiently. Ensuring compliance with all regulatory requirements. Communicating with group contacts, members, agents, brokerage firms, and internal sales staff through written and verbal correspondence to provide exceptional customer service. Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model. Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Requirements

High School Diploma required; Associate’s degree or equivalent experience preferred.
Strong oral and written communication skills, including active listening, mindful questioning, and professional grammar/proofreading.
Ability to organize work and manage time effectively to complete tasks within deadlines.
Adaptability to new circumstances, information, and challenges in a fast-paced environment.
Demonstrated ability to work independently as well as collaboratively in a team setting.
Service-oriented mindset with strong interpersonal skills to coordinate with team members and external partners.
Proven ability to perform under pressure and manage time-sensitive situations.
Proficiency in MS Word, Excel, and Outlook.
High accuracy in data entry and document review with strong attention to detail.
Ability to handle large volumes of data efficiently.

Nice To Haves

Knowledge of health insurance operations and plan designs (preferred).

Responsibilities

Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health
Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
Process enrollment applications, changes and terminations for all products received.
Responsible for handling incoming and outgoing telephone calls regarding group and member inquiries as well as inquiries from Sales, Customer Service, Agent Support, Compliance, Social Services, Care Management, Finance, and other groups as needed.
Assist in managing an organized a compliant member filing system.
Responsible for maintaining and controlling access to member electronic files and assuring that they are kept in a complete and organized manner.
Complete by-member submission for electronic filing on a daily basis.
Create and maintain accurate and complete desk procedures for all tasks.
Assures that procedures, documentation and communication are such that risk of legal action is minimized.
Drafts written correspondence or requests appropriate system form letters.
Review on a regular basis federal regulations, state mandates, legislative changes, and legal requirements for enrollment processing.
Assure that policies and procedures, documentation, and communications are such that risk of legal action is minimized.
Other duties as assigned.