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Enrollment Specialist I

5 months ago

Sacramento, United States WESTERN HEALTH ADVANTAGE Full time

The Enrollment Specialist I is responsible for answering enrollment phone queue, ensuring the eligibility, enrollment, and demographic data for Western Health Advantage’s commercial, exchange and sponsor membership is accurate and up-to-date. The Enrollment Specialist I must accurately communicate eligibility requirements and process incoming paper and electronic enrollment forms.

Job responsibilities:
**Provide phone support for calls from brokers, employer groups, and Individual Advantage members regarding eligibility and enrollment questions.**

**Communicate eligibility requirements and enrollment status to brokers, employer groups, and internal departments on a regular basis.**

**Maintain a detailed and thorough working knowledge of the enrollment requirements as outlined in the Evidence of Coverage Handbook and Group Service Agreement.**

**Maintain data entry accuracy and timeliness scores of 97% or higher.**

**Work closely with Individual Sales and Premium Billing teams on escalated cases.**

**Participate in meetings and technical calls as requested.**

**Perform other duties and special projects as assigned.**

Job qualifications:
**High School Diploma.**

**2 years’ experience working in enrollment at the health plan level; specifically HMO is a plus.**

**Previous experience working with Facets Application Software highly desired.**

**Must be available to work extended hours during the regular work week as well as Saturdays during Open Enrollment periods.**

**Intermediate computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics, etc. Specifically the ability to create formulas and graphs in Excel and import them into Word documents.**

Pay: From $18.00 per hour

**Benefits**:

- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

Ability to Relocate:

- Sacramento, CA 95833: Relocate before starting work (required)

Work Location: Hybrid remote in Sacramento, CA 95833