Senior Premium Billing and Enrollment Coordinator
About The Position
The Senior Premium Billing and Enrollment Coordinator serves as a subject matter expert to other team members, answering escalated billing and enrollment issues with both internal and external customers and clients. Responsible for the receiving, processing, reviewing and maintaining all types of enrollment. Performs testing for new processes and updates in systems. Monitors group inventory. Tracks and documents group set up and renewal workflow, supervises the process for timeliness and verifies accuracy of completed process. Identifies performance gaps and reports to Operations Leadership any opportunities for workflow efficiency and process improvement. Provides training and education to team members as needed. Must be detail oriented with the ability to investigate and problem solve. Relies on experiences to recognize enrollment and eligibility discrepancies. Must be able to effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data. Demonstrates analytical ability in processing electronic enrollment files. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgment in determining best methods of solving problems. Maintains a positive and professional relationship with internal staff, clients, members and vendors. Maintains confidentiality.
Requirements
- High school diploma or equivalent required.
- Two years' experience in health insurance, healthcare billing or similar industry including enrollment and eligibility preferred.
- Computer proficiency required.
Nice To Haves
- Associate degree preferred.
- Experience with Medicare, COBRA and ERISA highly desirable.
Responsibilities
- Serves as a subject matter expert to other team members
- Answers escalated billing and enrollment issues with both internal and external customers and clients
- Responsible for the receiving, processing, reviewing and maintaining all types of enrollment
- Performs testing for new processes and updates in systems
- Monitors group inventory
- Tracks and documents group set up and renewal workflow
- Supervises the process for timeliness and verifies accuracy of completed process
- Identifies performance gaps and reports to Operations Leadership any opportunities for workflow efficiency and process improvement
- Provides training and education to team members as needed
- Effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data
- Demonstrates analytical ability in processing electronic enrollment files
- Maintains a positive and professional relationship with internal staff, clients, members and vendors
- Maintains confidentiality
Benefits
- Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
