CareSource · 13 hours ago
Enrollment Specialist II
United States
Full-time
Remote
Entry Level
$40K/yr - $63K/yr
2+ years exp
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Responsibilities
Process work items according to appropriate regulatory guidelines
Review files and interpret the data to enter members into eligibility systems
Completion of daily change file pre-processor exceptions and monthly full file pre-processor exceptions
Research member eligibility and take appropriate actions to resolve issues across all eligibility systems
Process mass Primary Care Physician (PCP) changes with Provider Operations
Research, review, and interpret eligibility data to respond to eligibility inquiries from contracted vendors
Access state and federal government systems to review and confirm eligibility status
Process paper applications received for all applicable lines of business
Inbound phone coverage to answer inquiries from both internal and external customers
Complete all required corporate training within stated timelines to a satisfactory manner
Perform any other job duties as requested
Qualification
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Required
High School Diploma or equivalent required
Minimum of two (2) years of healthcare, insurance, or related industry experience to include at least one (1) year of enrollment/eligibility or similar experience is required
Familiarity with Microsoft Word and Excel
Excellent verbal and written communication skills
Ability to work independently and within a team environment
Attention to detail
Critical listening and thinking skills
Proper grammar usage
Time management skills
Proper phone etiquette
Customer service oriented
Decision making/problem solving
Preferred
Associate’s degree in accounting, finance or business related field or equivalent work experience is preferred
Familiarity of the healthcare field
Knowledge of Medicaid and Medicare preferred
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Erhardt Preitauer
President & Chief Executive Officer
Larry Smart
Chief Financial Officer
Recent News
GlobeNewswire News Room
2024-06-04
Business Journals
2024-06-03
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