4 дня назад
Enrollment and Eligibility Processor
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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