Job Title: Eligibility Consultant - Electronic Enrollment Specialist
Job Summary:
We're seeking an Eligibility Consultant - Electronic Enrollment Specialist to join our team at Workwarp. As an Eligibility Consultant, you will play a critical role in verifying enrollment status, making changes to member/client records, and addressing enrollment questions or concerns. If you're a detail-oriented individual with excellent communication skills and a passion for delivering exceptional customer service, we encourage you to apply.
Key Responsibilities:
Verify enrollment status, make changes to member/client records, and address a variety of enrollment questions or concerns
Maintain enrollment databases and coordinate transfer of eligibility data
Utilize and interpret online resources to understand account structure and benefits, and assist with the development of such resources
Respond, research, and resolve eligibility and other enrollment-related issues involving member-specific information
Apply all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure, and benefit parameters in addressing eligibility matters
Act as the liaison between clients, vendors, and the IT department, defining and identifying business requirements and solutions for non-standard arrangements
Ensure all transactions interface accordingly with downstream systems; test and validate data files for new or existing clients using system tools and track results to avoid potential problems and better address ongoing service issues
Partner with other team functions to coordinate the release of eligibility, plan structure, and benefit information
Complete required set-up of policy and eligibility screens in order to activate system processing of plan benefits
Code system screens, policy, and structure to support downstream processes and the generation and release of Member and Plan Sponsor products
Ensure all communications with clients, third-party administrators, and/or brokers involving sensitive member data adhere to HIPAA compliance requirements
Requirements:
High School Diploma, GED, or equivalent experience
Excellent written and verbal communication skills, with the ability to interact courteously and effectively with both internal and external customers
Demonstrated ability to creatively solve problems and create improvements
Experience with Word, Excel, Outlook, and data entry
Ability to manage multiple tasks and shifting priorities, and to manage high work volume and oversee a variety of incoming work flows
A team player capable of operating independently when needed, with a focus on delivering accurate and timely results
Preferred Qualifications:
Previous experience in a similar role
What We Offer:
A competitive salary range of $17.00 - $31.30 per hour
A comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan
A fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs
Free development courses, a CVS store discount, and discount programs with participating partners
Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year
How to Apply:
If you're a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please visit our website to learn more and submit your application.
Apply Now
We're seeking an Eligibility Consultant - Electronic Enrollment Specialist to join our team at Workwarp. As an Eligibility Consultant, you will play a critical role in verifying enrollment status, making changes to member/client records, and addressing enrollment questions or concerns. If you're a detail-oriented individual with excellent communication skills and a passion for delivering exceptional customer service, we encourage you to apply.
Key Responsibilities:
Verify enrollment status, make changes to member/client records, and address a variety of enrollment questions or concerns
Maintain enrollment databases and coordinate transfer of eligibility data
Utilize and interpret online resources to understand account structure and benefits, and assist with the development of such resources
Respond, research, and resolve eligibility and other enrollment-related issues involving member-specific information
Apply all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure, and benefit parameters in addressing eligibility matters
Act as the liaison between clients, vendors, and the IT department, defining and identifying business requirements and solutions for non-standard arrangements
Ensure all transactions interface accordingly with downstream systems; test and validate data files for new or existing clients using system tools and track results to avoid potential problems and better address ongoing service issues
Partner with other team functions to coordinate the release of eligibility, plan structure, and benefit information
Complete required set-up of policy and eligibility screens in order to activate system processing of plan benefits
Code system screens, policy, and structure to support downstream processes and the generation and release of Member and Plan Sponsor products
Ensure all communications with clients, third-party administrators, and/or brokers involving sensitive member data adhere to HIPAA compliance requirements
Requirements:
High School Diploma, GED, or equivalent experience
Excellent written and verbal communication skills, with the ability to interact courteously and effectively with both internal and external customers
Demonstrated ability to creatively solve problems and create improvements
Experience with Word, Excel, Outlook, and data entry
Ability to manage multiple tasks and shifting priorities, and to manage high work volume and oversee a variety of incoming work flows
A team player capable of operating independently when needed, with a focus on delivering accurate and timely results
Preferred Qualifications:
Previous experience in a similar role
What We Offer:
A competitive salary range of $17.00 - $31.30 per hour
A comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan
A fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs
Free development courses, a CVS store discount, and discount programs with participating partners
Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year
How to Apply:
If you're a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please visit our website to learn more and submit your application.
Apply Now