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4 дня назад

Enrollment and Eligibility Processor

Формат работы
onsite
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Enrollment and Eligibility Processor (Health Benefits Administration): Maintaining member and dependent enrollment records, processing coverage documentation, and resolving eligibility issues with vendors and internal stakeholders with an accent on accuracy, customer support, and benefits-plan administration. Focus on researching complex enrollment irregularities, protecting PHI and PII, and coordinating timely responses across examiners, billing processors, and external partners.

Location: Kansas City, United States; full-time office-based role

Company

hirify.global is an independent third-party administrator in the United States, operating more than 44 offices nationwide and administering employee benefit plans.

What you will do

  • Maintain accurate member and dependent records in the administration system.
  • Process enrollment-related documentation, including ID cards and eligibility packets.
  • Respond to and document written, telephone, and face-to-face inquiries about plan benefits.
  • Research and resolve complex eligibility, enrollment, technical, and data irregularities.
  • Coordinate issue resolution with PPOs, PBMs, examiners, billing processors, internal teams, and external partners.
  • Handle inbound and outbound correspondence and perform other related duties as assigned.

Requirements

  • High school diploma or equivalent.
  • At least six months of general office experience demonstrating dependability.
  • Proficiency with Microsoft Office tools and applications.
  • Clear and professional verbal and written communication skills.
  • Strong organization, attention to detail, listening, integrity, and customer-service skills.
  • Ability to interpret business materials, technical procedures, benefit plans, and regulations; flexible scheduling and reliable attendance are required.

Culture & Benefits

  • Health, vision, and dental coverage.
  • 401(k) retirement savings plan with company match.
  • Paid time off.
  • Opportunities for professional growth.
  • Work in a customer-focused environment emphasizing high-quality service and mutual respect.
  • Role involves minimum necessary access to protected health information and personally identifiable information.

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