Member Enrollment Representative I (3735)
About The Position
The Member Enrollment Rep I will be responsible for providing ongoing support to the MPC leadership team through various tasks. This role involves processing various enrollment applications, change requests, and termination notices, ensuring data accuracy within the Opportunity system and adhering to departmental and carrier guidelines. The position also requires testing PMD Submission tickets, responding to inquiries from carriers, brokers, agencies, groups, and members, and identifying areas for improvement in training and system enhancements. Adherence to HIPAA and PHI guidelines is mandatory. Regular attendance and punctuality, whether on-site or remote, are essential functions of the job.
Requirements
- Ability to manage functions, including planning, organizing, directing and controlling
- Strong project management, assessment, analytical, critical thinking, problem solving, follow-up and organizational skills
- Ability to work independently with minimal supervision on tasks or projects which support the job role
- Ability to interact and communicate effectively with all levels of employees and clients
- A track record for meeting deadlines
- Excellent customer service skills
- Able to build/gain commitment and overcome resistance to change
- Ability to work well in a fast-paced professional office environment
- Must be able to handle multiple tasks, priorities, and demands at one time.
- Proficient with Microsoft Office software (Access, Word, Excel, PowerPoint, SharePoint, Outlook), web based technology
- Strong attention to detail
- Ability to work with sensitive or confidential information
- Strong understanding of the English language, including grammar, punctuation, and the appropriate use of language in a professional environment.
- Must be able to learn quickly and adapt to changing guidelines.
- Customer Focus
- Humor
- Listening
- Self-Knowledge
- Time Management
- Written Communication
- Must be able to use a keyboard and other office equipment.
Nice To Haves
- Prior data management experience is preferred
Responsibilities
- Process ChoiceBuilder Enrollment Applications, Change Request forms, Termination Notices and any other member and group related forms by entering data into the Opportunity system and adhering to departmental and carrier guidelines
- Review document processed for accuracy against information entered in the database.
- Identify and report discrepancies/errors to corrections team
- Identify and report systematic discrepancies/errors to the PMD Submission team
- Thoroughly test PMD Submission tickets as applicable.
- Submit timely responses to carriers, brokers, agencies, groups and members when required
- Help identify any specific needs in training, system enhancements and areas of improvement based on your experience and errors found during processing
- Understanding of company policies and procedures as they apply to Choice Builder plans and products
- Complete department training as assigned by your direct supervisor/manager
- Adhere to all HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines
- Any and all duties and special projects as assigned by your direct supervisor/manage
- On-site regular attendance and punctuality are essential functions of the job. Remote, as applicable, regular attendance and punctuality are essential functions of the job.
- Performs other business tasks or functions as assigned.
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
