Member Enrollment Representative

Mass General Brigham•Somerville, MA

1d•Remote

About The Position

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. Responsible for processing and managing member enrollments in QNXT, ensuring accuracy and adherence to regulatory requirements. Experience with QNXT and prior member enrollment operations within a health plan environment is highly preferred.

Requirements

High School Diploma or Equivalent required
At least 1-2 years of experience in a customer service, administrative, or enrollment role required
Solid understanding of member enrollment processes, regulations, and compliance requirements.
Proficiency in data entry and knowledge of relevant computer applications and software.
Excellent attention to detail and accuracy in handling sensitive member information.
Strong organizational and time management skills to prioritize tasks and meet enrollment deadlines.
Exceptional customer service and communication skills, both written and verbal.
Ability to handle complex enrollment issues and resolve member inquiries effectively.

Nice To Haves

Associate's Degree Related Field of Study preferred
At least 2-3 years of experience in member enrollment or a related administrative role in the health insurance industry highly preferred
QNXT experience highly preferred

Responsibilities

Process new member enrollments, ensuring all required documents are accurately completed and submitted.
Accurately enter member enrollment data into the enrollment system or database.
Maintain comprehensive and up-to-date records of all member enrollment activities and communications.
Respond to member inquiries and concerns regarding the enrollment process, benefits, and coverage.
Ensure compliance with all applicable regulations, policies, and procedures related to member enrollment.
Collaborate with cross-functional teams, such as customer service, claims, and finance, to ensure a seamless member enrollment experience.
Assist in training and mentoring new Member Enrollment Representatives, providing guidance on enrollment procedures and best practices.