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Q4-Member Enrollment Representative I
4 months ago
Purpose of Position: Review and process all incoming forms and document types for CaliforniaChoice using our integrated document management system.
Essential Functions:
•Identify the documents and process based on guidelines and standard operating procedures (SOPs)
•Responsible for reviewing and processing the following forms:
o Employee Applications
o Change Requests
o Renewal Change Requests
o Terminations
o Waivers
o Web Based Forms
o Any additional forms introduced
•Input indexing values into our integrated document management system based on paperwork/email/fax requests received
•Maintain working knowledge of all products and systems used for job function (i.e. Pegasus, doc-link, SharePoint, etc.)
•Assess and forward all forms and document types above to the appropriate team(s) or department(s) for processing
•Meet department standards/expectations for quality and quantity of work
•Adhere to all Protected Health Information (PHI) and all Health Insurance Portability and Accountability Act (HIPAA) guidelines
•Perform the tasks and functions necessary to manage the Eligibility work bin
•On-site regular attendance and punctuality are essential functions of the job.
•Performs other business tasks or functions as assigned.
Knowledge, Skills & Abilities Required:
•Ability to adapt to policy and company changes
•Ability to retain large quantities of information regarding department and company policies
•Computer literate (Windows), word processing skills (MS Word), and data entry skills
•Typing at 50 WPM or more
•Strong problem solving, written, verbal, and organizational skills to communicate within an office environment
•Must be highly motivated, have ability to take initiative, be accountable, and ability to work in a team-oriented environment
•Bilingual preferred
Additional Competencies:
•Action oriented, Approachability, Customer Focused, Patience, Time Management, Written Communication
In addition to the KSAs and Additional Competencies listed above, there are more competencies related to this position. Please refer to the Individual Contributor - Associate competency addendum.
Educational Requirements:
•High School Diploma or equivalent required.
Physical Requirements: Must be able to sit for extended periods of time and occasional standing and walking.Must have adequate hearing for interdepartmental phone calls.Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English.Must be able to use a keyboard and other office equipment.Ability to lift up to 10 pounds occasionally.