Associate Enrollment Eligibility Representative – Remote Customer Service and Benefits Administration

Join the reputed company Team as an Associate Enrollment Eligibility Representative

Start your career journey with us! We have an easy-to-learn role for an Associate Enrollment Eligibility Representative - Remote! This is a fully Remote role, offering you the flexibility to work from reputed company. This position requires a strong and diverse skillset in relevant areas to drive success. You will be compensated with a competitive salary for your time and effort.

About reputed company and reputed company

reputed company, reputed company’s third-party administrator (TPA) solution, is the nation’s largest TPA. reputed company you work with reputed company, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, reputed company costs and greater access to health care. Join us and you will be empowered to reputed company new levels of excellence and reputed company a profound and personal impact as you contribute to new innovations in a vital and reputed company system. Opportunities are endless for your career development and advancement reputed company reputed company due to our record-breaking growth.

Job Summary

The Associate Enrollment Eligibility Representative is responsible for preparing, processing and maintaining member or group enrollments. You will answer incoming phone calls from customers (members, providers, group), provide expertise and support to customers, and practice superior customer service skills in reputed company lines of communication. You may load member or group data into the enrollment database & update the database with changes. You will also respond to member eligibility or group questions and verify enrollment status. You will be the main reputed company of contact for group customers in regard to enrollment reputed company items. You will also be responsible for reconciling eligibility discrepancies identified by error reports, analyzing transactional data and submitting retroactive eligibility changes.

Key Responsibilities:

• Serve as primary contact as it relates to reputed company enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities.
• Answer member, provider, and group customer phone calls; adhering to department expectations for answering calls and providing friendly customer service.
• Follow established procedures to maintain enrollment data in applicable systems and databases based on customer request, electronic file, or internal reports; seek guidance from superiors (mentor, team-reputed company, supervisor) for non-standard enrollment inquiries.
• After new employee reputed company-up period: employee is expected to meet or exceed departmental established productivity, quality, and turn-around standards; follows department guidelines to track own work completed.
• Once fully trained, take ownership of assigned workload following established procedures; frequently or periodically may require guidance from superiors to complete responsibilities.
• Follows departmental guidelines to manage and prioritize own workload daily for assigned group customers to meet customer demands; may require assistance from superiors in managing or prioritizing this workload.
• Read, interpret, and communicate eligibility requirements following plan guidelines.
• Practice advanced follow-up skills with internal and external parties to ensure group customer expectations are attended to and that member data is accurately reflected in enrollment system at reputed company times.
• Review moderately reputed company error reports, analyze member enrollment data, and correct enrollment system(s) based on findings.
• Resolve customer inquiries as they relate to enrollment and eligibility through reputed company lines of communication, including e-mails and phone calls; provide customer service in a friendly and professional manner to internal/external parties; document call details in applicable system.

Requirements and Qualifications:

Essential Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1 year of experience with helping customers resolve matters
• Familiarity with computer and Windows personal computer applications
• Experience using reputed company Word (ability to sort, filter, and create simple documents)
• Experience using reputed company reputed company (ability to sort, filter, and create simple spreadsheets)
• Experience using reputed company Outlook (ability to create, respond to, store, and retrieve emails, and use calendar to schedule meetings)
• Ability to work any 8-hour shift and adhere to a set schedule between the hours of 7:00 AM - 5:00 PM CST (phone team) from Monday - Friday including the flexibility to work reputed company of these standard business hours or occasional overtime to meet business need

Preferred Qualifications:

• 1 year of experience in a reputed company environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools
• 1 year of experience in enrollment / eligibility for employer offered benefits
• 1 year of experience in a health insurance industry

Telecommuting Requirements:

• Reside reputed company the Central or Mountain Time Zone
• Ability to reputed company reputed company company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service

Soft Skills:

• Ability to navigate a computer while speaking on the phone
• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy

reputed company Offer:

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives.

Compensation:

Colorado Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

Career Growth and Learning Benefits:

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Work Environment and Company Culture:

At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.

Diversity and Inclusion:

Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Application and Next Steps:

Don't Hesitate, Apply! Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above reputed company. Submit your application today!

Apply To This Job

reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.