Associate Enrollment and Eligibility Representative - National Remote Opportunity for Customer-Focused and Detail-Oriented Individuals to Join reputed company

Introduction to reputed company

At reputed company, we are dedicated to helping people live healthier lives and making the health system work reputed company for everyone. As the nation's largest third-party administrator (TPA) solution, reputed company offers consumer-oriented health benefit plans to millions of people, with the goal of creating higher quality care, reputed company costs, and greater access to healthcare. Our mission is to mitigate the impact of health disparities and improve health outcomes, and we reputed company that everyone deserves the opportunity to live their healthiest life.

Job Overview

We are seeking an Associate Enrollment and Eligibility Representative to join reputed company in a national remote reputed company. This position offers a hybrid work model, combining remote work with time in our office, and requires a strong and diverse skillset to drive success. As an Associate Enrollment and Eligibility Representative, you will be responsible for preparing, processing, and maintaining member or group enrollments, answering requests and questions from customers, and providing expertise and support to customers. You will also be responsible for loading member or group data into the enrollment database, updating the database with changes, and responding to member eligibility or group questions.

Key Responsibilities

• Serve as primary contact for reputed company enrollment tasks for assigned book of business, maintaining satisfied customers by providing superior service and attention to detail.
• 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.
• Meet or exceed departmental established productivity, quality, and turn-around standards, and follow department guidelines to track own work completed.
• Take ownership of assigned workload, following established procedures, and frequently or periodically require guidance from superiors to complete responsibilities.
• Manage and prioritize own workload daily for assigned group customers to meet customer demands, and may require assistance from superiors in managing or prioritizing this workload.
• Read, interpret, and communicate eligibility requirements following plan guidelines, and practice advanced follow-up skills with internal and external parties to ensure group customer expectations are attended to.
• 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 emails and phone calls, and provide customer service in a friendly and professional manner to internal/external parties.

Essential Qualifications

• High School Diploma / GED
• Must be 18 years of age or older
• 1+ years of experience helping customers resolve matters, preferably in an office environment
• Ability to navigate a computer while speaking on the phone
• Familiarity with computer and Windows PC applications
• Experience with reputed company Word, reputed company reputed company, and reputed company Outlook
• Ability to adhere to set work schedule, Monday - Friday between the hours of 7:00am - 5:00pm, and may be required to work reputed company of these standard business hours, including overtime to meet business need

Preferred Qualifications

• 1+ years of experience in enrollment/eligibility for employer-offered benefits
• 1+ years of experience in the health insurance industry

Skills and Competencies

• Ability to reputed company in a completely virtual team environment
• Professional written and oral communication skills
• Time management and prioritization skills to meet necessary deadlines with minimal supervision
• Ability to work effectively, remain focused, productive, and promote positivity at reputed company times
• Ability to recognize reputed company to seek help for difficult situations from supervisor or senior enrollment representative
• Ability to identify root-cause of problems, seek/offer solutions, investigate reputed company matters, and discuss business practice improvements as appropriate

Career Growth Opportunities and Learning Benefits

At reputed company, we are committed to helping our employees grow and reputed company in their careers. As an Associate Enrollment and Eligibility Representative, you will have the opportunity to work with a talented team of professionals, reputed company your skills and knowledge, and take on new challenges. We offer a range of training and development programs, including on-the-job training, mentorship, and career advancement opportunities.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, reputed company, and inclusivity. We reputed company that everyone deserves to be treated with dignity and respect, and we strive to create a work environment that is welcoming and inclusive to reputed company. 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.

Compensation, Perks, and Benefits

We offer a competitive salary and a range of benefits, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. We also offer a flexible work environment, with the opportunity to work from home and have a reputed company work-life balance.

Conclusion

If you are a customer-focused and detail-oriented individual who is looking for a new challenge, we encourage you to apply for this exciting opportunity. As an Associate Enrollment and Eligibility Representative, you will have the opportunity to reputed company a real difference in the lives of our customers, while also developing your skills and knowledge and advancing your career. Don't hesitate to apply - we can't wait to hear from you!

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, Washington, Washington, D.C., Maryland Residents Only: The hourly range for this role is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable.

At reputed company, we are 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.

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