Provided Specific Skill Set Requirements:

Quick learner, previous enrollment experience preferred. Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards. This includes timely entry and maintenance of data after review and analysis of electronic and hard copy information. Facilitate problem resolution through investigation and collaboration as needed.

Job Summary:

Promptly and effectively process all 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. Facilitate problem resolution through investigation and collaboration as needed.

Essential Functions:

Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards. Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures Courteously provide internal and external customers with information and education regarding the government programs enrollment process, eligibility, COBRA and HIPAA regulations. Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process. Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner. Performs reconciliation work on accounts/cases. Ensure inventory of enrollments and customer inquiries are resolved within established guidelines. Monitor and maintain data content of membership via various databases. Maintain general knowledge of other functional areas of the system and PH to better assess impacts on enrollments. 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. Accurately communicate to leader critical customer issues. Must Have Ability to learn new things Multi-Tasking Nice To Have EPIC experience Individual Market enrollment experience

Qualifications:

Required High School Diploma or equivalent Preferred Associate's Degree 2 years of relevant experience Two years of experience in a health related field. Required Enrollment position preferred. Preferred Experience with Medicare/Medicaid regulations. Preferred Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy

Everforth Apex Benefits Overview:

Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide. Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered. UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems. VEVRAA Federal Contractor.

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