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Enrollment Specialist

PSG Global Solutions · Michigan

📍 Southfield, MI, usvia smartrecruitersPosted 2017-09-08
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Healthcare company 3 Months (possible to extend) • Review and process enrollment transactions and interpret with accuracy. • Details data entry (enrolling Individual applications, short term applications, dental enrollment applications, Return mail, and other misc. changes). • Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards. • This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information. • Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters. • Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies. • Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner. • Courteously provide customers with information and education concerning government program enrollment processes and requirements. • Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process. • Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process. Required Experience: • Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data • High School diploma - Required • Must have attention to detail and team-oriented • Must have excellent communication skills • Excellent analytical and problem-solving skill are required • Decision-making skills are essential as is the ability to assume responsibilities as delegated • Must have strong organizational skills, with attention to detail and ability to multi-task, mange multiple priorities and meet deadlines. Preferred Experience: • Associate's Degree Preferred • Enrollment Position Experienced • Experience with Marketplace/Medicare regulations • Excellent computer skills proficiency with Microsoft Office applications • Managed care experience This is an urgent job opportunity. Please send your updated resume to mevangelista@visionproteam. com or call me at my number  3 13-279-1020.

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