Member Enrollment Representative I (3735)

Description

Purpose of Position:

The Member Enrollment Rep I will be responsible for providing ongoing support to the MPC leadership team through various tasks.

Essential Functions:

Process ChoiceBuilder Enrollment Applications, Change Request forms, Termination Notices and any other member and group related forms by entering data into the Opportunity system and adhering to departmental and carrier guidelines

Review document processed for accuracy against information entered in the database.

Ability to identify and report discrepancies/errors to corrections team

Ability to identify and report systematic discrepancies/errors to the PMD Submission team

Thoroughly test PMD Submission tickets as applicable.

Submit timely responses to carriers, brokers, agencies, groups and members when required

Help identify any specific needs in training, system enhancements and areas of improvement based on your experience and errors found during processing

Understanding of company policies and procedures as they apply to Choice Builder plans and products

Complete department training as assigned by your direct supervisor/manager

Adhere to all HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines

Any and all duties and special projects as assigned by your direct supervisor/manage

On-site regular attendance and punctuality are essential functions of the job.

Remote, as applicable, regular attendance and punctuality are essential functions of the job.

Performs other business tasks or functions as assigned.

Qualifications

Knowledge, Skills & Abilities Required:

Ability to manage functions, including planning, organizing, directing and controlling

Strong project management, assessment, analytical, critical thinking, problem solving, follow-up and organizational skills

Ability to work independently with minimal supervision on tasks or projects which support the job role

Ability to interact and communicate effectively with all levels of employees and clients

A track record for meeting deadlines

Excellent customer service skills

Able to build/gain commitment and overcome resistance to change

Ability to work well in a fast-paced professional office environment
Must be able to handle multiple tasks, priorities, and demands at one time.

Proficient with Microsoft Office software (Access, Word, Excel, PowerPoint, SharePoint, Outlook), web based technology

Strong attention to detail

Ability to work with sensitive or confidential information

Prior data management experience is preferred

Strong understanding of the English language, including grammar, punctuation, and the appropriate use of language in a professional environment.
Typing at 50 WPM or more

Must be able to learn quickly and adapt to changing guidelines.

Additional Competencies

Customer Focus, Humor, Listening, Self-Knowledge, Time Management, Written Communication

Educational Requirements:

High School Diploma or equivalent required.

Physical Requirements:

Must be able to sit for extended periods of time and occasional standing and walking. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.