Enrollment Specialist

  • location: Tampa, FL
  • type: Contract
  • salary: $22.81 per hour
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job description

Enrollment Specialist

job summary:
JOB SUMMARY

  • Position is responsible for performing the more complex duties related to enrolling dis-enrolling and maintaining membership files.
ESSENTIAL FUNCTIONS:

  • Processes more complex enrollment related transactions from various different data sources.
  • Researches and resolves financial membership and payment discrepancies.
  • Identifies user errors and provides real-time feedback to associates.
  • Serves as a subject matter expert and acts as a first line of contact for complex member issues received from various different sources.
  • Performs detailed root cause analysis to determine core issues related to member complaints and system errors to resolution.
  • Summarizes issues and recommendations for IT.
  • Customer Service. and other areas as appropriate to perform corrective and preventative actions.
  • Maintains data within various tracking tools related to outcome of research of various issues.
  • Conducts phone interactions with members and may outreach to regulatory agencies.
  • Read understand and apply State and Federal Guidance to daily activities.
  • Adhere to productivity quality and compliance expectations.
  • Provides support and guidance to Enrollment Specialists analyzing and resolving member escalated issues.
  • Works with the manager/supervisor to maintain daily workflow within the department to maximize productivity.
  • Identifies issue trends and opportunities and assists on implementation.
  • Performs other duties as assigned.
MINIMUM QUALIFICATIONS:

  • A High School or GED Required
  • Knowledge of state 834 file processing
Work Experience:

  • 2+ years of experience in a related field for internal candidates Required
  • Other External candidates: An associate's degree plus 1 year in a related field or 3+ years experience in a related field without an associate's degree Required
Skills:

  • Ability to effectively present information and respond to questions from peers and management
  • Critical thinker Intermediate
  • Ability to work as part of a team Intermediate
  • Ability to identify basic problems and procedural irregularities collect data establish facts and draw valid conclusions Intermediate
  • Ability to work in a fast paced environment with changing priorities Intermediate
  • Demonstrated written communication skills Beginner
Medicaid enrollment background, Detailed oriented. Work well under pressure, be accountable for work, effective communicator both written and verbal, strong analytical and process oriented.

 
location: Tampa, Florida
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 2 Years
 
responsibilities:
JOB SUMMARY

  • Position is responsible for performing the more complex duties related to enrolling dis-enrolling and maintaining membership files.
ESSENTIAL FUNCTIONS:

  • Processes more complex enrollment related transactions from various different data sources.
  • Researches and resolves financial membership and payment discrepancies.
  • Identifies user errors and provides real-time feedback to associates.
  • Serves as a subject matter expert and acts as a first line of contact for complex member issues received from various different sources.
  • Performs detailed root cause analysis to determine core issues related to member complaints and system errors to resolution.
  • Summarizes issues and recommendations for IT.
  • Customer Service. and other areas as appropriate to perform corrective and preventative actions.
  • Maintains data within various tracking tools related to outcome of research of various issues.
  • Conducts phone interactions with members and may outreach to regulatory agencies.
  • Read understand and apply State and Federal Guidance to daily activities.
  • Adhere to productivity quality and compliance expectations.
  • Provides support and guidance to Enrollment Specialists analyzing and resolving member escalated issues.
  • Works with the manager/supervisor to maintain daily workflow within the department to maximize productivity.
  • Identifies issue trends and opportunities and assists on implementation.
  • Performs other duties as assigned.
MINIMUM QUALIFICATIONS:

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience:

  • 2+ years of experience in a related field for internal candidates Required
  • Other External candidates: An associate's degree plus 1 year in a related field or 3+ years experience in a related field without an associate's degree Required
Skills:

  • Ability to effectively present information and respond to questions from peers and management
  • Critical thinker Intermediate
  • Ability to work as part of a team Intermediate
  • Ability to identify basic problems and procedural irregularities collect data establish facts and draw valid conclusions Intermediate
  • Ability to work in a fast paced environment with changing priorities Intermediate
  • Demonstrated written communication skills Beginner
Medicaid enrollment background, Detailed oriented. Work well under pressure, be accountable for work, effective communicator both written and verbal, strong analytical and process oriented.

 
qualifications:
JOB SUMMARY

  • Position is responsible for performing the more complex duties related to enrolling dis-enrolling and maintaining membership files.
ESSENTIAL FUNCTIONS:

  • Processes more complex enrollment related transactions from various different data sources.
  • Researches and resolves financial membership and payment discrepancies.
  • Identifies user errors and provides real-time feedback to associates.
  • Serves as a subject matter expert and acts as a first line of contact for complex member issues received from various different sources.
  • Performs detailed root cause analysis to determine core issues related to member complaints and system errors to resolution.
  • Summarizes issues and recommendations for IT.
  • Customer Service. and other areas as appropriate to perform corrective and preventative actions.
  • Maintains data within various tracking tools related to outcome of research of various issues.
  • Conducts phone interactions with members and may outreach to regulatory agencies.
  • Read understand and apply State and Federal Guidance to daily activities.
  • Adhere to productivity quality and compliance expectations.
  • Provides support and guidance to Enrollment Specialists analyzing and resolving member escalated issues.
  • Works with the manager/supervisor to maintain daily workflow within the department to maximize productivity.
  • Identifies issue trends and opportunities and assists on implementation.
  • Performs other duties as assigned.
MINIMUM QUALIFICATIONS:

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience:

  • 2+ years of experience in a related field for internal candidates Required
  • Other External candidates: An associate's degree plus 1 year in a related field or 3+ years experience in a related field without an associate's degree Required
Skills:

  • Ability to effectively present information and respond to questions from peers and management
  • Critical thinker Intermediate
  • Ability to work as part of a team Intermediate
  • Ability to identify basic problems and procedural irregularities collect data establish facts and draw valid conclusions Intermediate
  • Ability to work in a fast paced environment with changing priorities Intermediate
  • Demonstrated written communication skills Beginner
Medicaid enrollment background, Detailed oriented. Work well under pressure, be accountable for work, effective communicator both written and verbal, strong analytical and process oriented.

 
skills: Other:
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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