Enrollment Representative II

Job Description:

• Process enrollment forms/spreadsheets for new and existing groups including COBRA
• Process change of address forms
• Review and process enrollment changes including adding/removing dependents and effective/term date adjustments
• Research and correct ID cards returned with missing addresses
• Addresses vision error reports
• Assist in working electronic group error reports when necessary
• Quality assurance review of enrollments for other Eligibility Representatives
• Maintain communication with all internal departments and employer groups
• Support training of new Enrollment employees
• Completes special projects as assigned by management; performs tasks necessary to ensure efficient and cost-effective operation of the eligibility department
• Review and update of automated reporting as assigned
• Work with groups, TPA’s and internal departments for TPA changes of EDI files, provide testing and approval for production
• Provide discrepancies for large and or complex groups
• Process EDI files as assigned
• Act as a liaison for groups and brokers regarding enrollment-related inquiries
• Address emails submitted to the Enrollment inbox as needed for back-up
• Process enrollment forms/spreadsheets for new and existing electronic groups as needed
• Ensure compliance with HIPAA and other regulatory requirements
• Support the eligibility call center

Requirements:

• High school diploma or equivalent required
• 1-3 years’ administrative experience required; dental insurance knowledge preferred
• Proficient in MS Word, Excel, and 10-key
• Ability to solve problems quickly and automate processes
• Self-motivated and must work with minimal supervision
• 2-4 years in a related role
• 2-4 years Dental insurance knowledge required

Benefits:

• medical
• dental
• vision
• 401(k)
• student loan assistance
• six weeks of paid parental leave
• volunteer PTO