Job Description

Duration: 12 Months

Summary :

• Enrollment functions: Reviews enrollment details and effective dates to ensure accuracy prior
• to enrolling member. Works with team members to determine appropriate program enrollment.
• Enters, deletes, and revises enrollment related actions in interchange.
• Assists in the redetermination process and submits lists of all members to be renewed to appropriate external partners.
• Disenrollment functions: Reviews and processes all requested and approved disenrollments, whether voluntary or involuntary, for the members in an accurate and timely manner.
• Ensure effective dates are accurate and research discrepancies related to effective dates, preventing eligibility issues for members, providers, and MCOs.

Minimum Qualifications:

• Graduation from an accredited college or university with a bachelor’s degree or graduation from an accredited college or university with an associate’s degree and two years of qualifying professional experience
• Excellent verbal and written communications skills
• Proven technical skills (e.g. Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)
• Excellent time management skills and ability to multi-task and prioritize work in order to meet specific timeframes and deadlines with minimal supervision
• Keen attention to detail and adherence to deadlines
• Organization
• Self-motivated and able to thrive in a fast-paced and results-driven environment
• Critical thinking and problem-solving skills

Job Tags

Similar Jobs