Overview
Enrollment Specialist Jobs in Maite, GU at StayWell Insurance
Job title
Enrollment Specialist I
Department
Enrollment
Reports to
Enrollment Supervisor
Vice President
Finance
Updated
March 2024
Nature of Work in this Position: The primary responsibility of this position is to perform routine technical duties and administrative work in medical and dental insurance programs.
Illustrative Examples of Work:
- Process enrollment forms and update group or member records.
- Create and issues ID cards or letters to member.
- Confirms member’s eligibility.
- Create and sends group monthly billing.
- Reconciles premium payment and assist groups with accounts receivables.
- Call group or member to follow up on outstanding premium payments, pending documents, or pending eligibility information.
- Suspend or terminates group or member and issue required notices.
- Review and verifies refund information and make necessary adjustments.
- Updates refund check status.
- Creates standardized forms.
- Represents the department in assigned committees.
- Run and updates assigned reports.
- Participates in company’s health care quality improvement activities.
- Performs related duties as required. (Related duties are duties that may not be specifically listed in the class specification or position description, but that are within the general occupational series and responsibility level typically associated with the employee’s class of work.)
Knowledge / Skills / Abilities:
- Significant organizational skills.
- Strong verbal and written communication.
- Attention to detail and quality focused.
- Ability to multi-task and manage time efficiently.
- Ability to perform under pressure.
- Ability to maintain confidentiality and adhere to HIPAA regulations.
Minimum Experience and Training:
Any combination of education and experience providing the required skill and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to:
- High school diploma or equivalent;
- Minimum of one (1) year experience in program enrollment and eligibility evaluation, office, clerical or customer service work;
- Bookkeeping experience a plus;
- Proficient in the use of Microsoft Office (Excel, Word, PowerPoint, Outlook); and
- Computer literate (Windows).
Note: This job specification should not be construed to imply that these requirements are the exclusive standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as may be required by their supervisor.
This job entails access to PHI / ePHI data. Any personally identifiable health information, including genetic and demographic data, collected from an individual by a covered entity. This includes information related to an individual’s past, present, or future physical or mental health, healthcare provision, or payment. PHI includes information like the patient’s name or other identifiable data. It excludes information in education records and employment records held by a covered entity. PHI also excludes information related to individuals who have been deceased for more than 50 years. The hired individual is expected to maintain policies and procedures to ensure compliance with HIPPAA regulations in handling PHI/ePHI data.
Pay: $10.17 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Title: Enrollment Specialist
Company: StayWell Insurance
Location: Maite, GU
