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Healthcare Insurance Enrollment Specialist

1 month ago

Sacramento, United States Online Technical Services Full time
Job DescriptionJob Description

Healthcare Insurance Enrollment Specialist - Hybrid - Sacramento area

Our client is a major healthcare system with hospitals and clinics throughout Northern California

We have a need for a contract healthcare insurance enrollment specialist for a 22-week contract that may become a fulltime position.

Job is remote, M-F 7:30-4, however the incumbent is required to train in Sacramento for a few days.

SUMMARY:
Prepares, processes, uploads, and maintains new member or group registration information in the
enrollment database. Responds to member or group eligibility questions, including verifying
enrollment status. reconciling eligibility discrepancies, analyzing transactional data, and submitting
retroactive eligibility changes, as needed. Generates various types of member correspondence.
Maintains inventory control of member and group transactions.

JOB ACCOUNTABILITIES:
Enters, scans, or updates database information for new enrollments and terminations of group,
individual, and ancillary health insurance products, including group employer accounts and individual
policy profiles.
Processes demographic changes to member records, such as name/address/phone/email changes, primary care provider (PCP) changes, etc.
Handles enrollment or eligibility inquiries from Member Services, including processing duplicate ID
card requests, reprinting correspondence, and reordering new member materials.
Reviews all pending enrollments data for accuracy, analyzes any discrepancies, obtains the correct
information, and reconciles the records.
Identifies performance gaps, recommends and implements approved improvements to
enrollment/eligibility processes.
Responds to all correspondence.