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Healthcare Enrollment Specialist
2 months ago
We are seeking a highly motivated and detail-oriented Healthcare Enrollment Specialist to join our team at Motus Recruiting and Staffing, Inc. in Portland, OR.
Key Responsibilities:- Process eligibility and enrollment procedures daily via electronic transactions, web-based systems, and email.
- Ensure accuracy and timeliness of entering enrollments within department, employer groups, state, and federal standards.
- Follow delinquency policy and procedures to ensure compliance and timely receipt of administrative fees and premiums.
- Reconcile member, premium, and administrative fees monthly to the penny.
- Maintain confidentiality of all information related to members, employer groups, employees, and other sensitive information.
- Respond to internal and external customer inquiries regarding enrollments, ID cards, and attend customer meetings as requested.
- Log and track enrollment applications in Excel and provide monthly reports to supervisors and groups.
- Enter COB, COBRA, and Pre-Existing information for timely and accurate claims adjudication.
- Request and verify issuance and accuracy of member ID cards.
- Adhere to and enforce group contract, state, and federal guidelines regarding eligibility standards and requirements.
- High school diploma or equivalent required.
- 3+ years of experience in data entry, customer service, enrollment, billing, and reconciliation environment.
- Working experience with MS Office Suite, specifically Word and Excel.
- Typing proficiency of 25 WPM preferred.
- Previous experience and/or knowledge of FACETS preferred.
- Strong customer service experience, with ability to be patient, communicative, and courteous.
- Maintaining confidentiality is required.
Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees.
We are an equal opportunity employer and welcome applications from all qualified candidates. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.
