Eligibility & Enrollment Processor

Position Summary Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions. Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Maintain member and dependent files in the administration system . Resolve eligibility & enrollment issues with the various vendors (PPO'S.PBMs, etc.) Handle inbound and outbound correspondence, such as ID cards, eligibility packets, etc. Researches and resolves complex and technical issues and irregularities. Respond to inquiries from the examiners and billing processors concerning enrollment issues. Perform other job related duties as assigned. Working Conditions/Physical Effort Normal degree of physical effort in typical office environment with comfortable, constant temperatures and absence of objectionable elements. May be subject to interruptions. May be required to lift a maximum of 25 lbs. Must be able to have flexible work schedule when workflow requires. Must meet established attendance and punctuality guidelines. Minimum Qualifications High School diploma or equivalent. Minimum 6 months general office experience in which candidate has demonstrated dependability. Strong work ethic and team player mentality. Highly developed sense of integrity and commitment to customer satisfaction. Ability to communicate clearly and professionally, both verbally and in writing. Solid organization skills with strong detail orientation and listening skills. Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations. Proficient computer skills including MS Office tools and applications Disability Accommodation Zenith American Solutions Real People. Real Solutions. National Reach. Local Expertise.