Associate Enrollment Coordinator

Associate Enrollment Coordinator

Requirements

• High School Diploma or equivalency
• 1 year of relevant experience Managed care and/or health care

Responsibilities

• Plan, assign and direct the day-to-day responsibilities and workflow of the government programs enrollment staff to ensure all enrollment procedures are followed and timeline requirements are met
• Utilize various reports to monitor individual and team production and performance; revise staffing model as necessary to meet customer and department needs
• Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures
• Inform team members of audit results, rewarding and/or counseling regarding ongoing performance as necessary
• Provide technical, product, policy and procedure training for new and existing staff
• Address complex issues, including customer complaints, to facilitate effective resolution
• Assist with enrollment processing as necessary to ensure compliance with regulations and standards, including timeframes
• Maintain knowledge of technical systems, products, policies/procedures, regulatory requirements and accreditation standards to be an effective resource for staff
• Courteously provide internal and external customers with information and education regarding the government programs enrollment process
• Effectively educate team on an ongoing basis relative to day-to-day changes, company initiatives and communications (internal and external) that may directly affect their interpretations of policy changes or benefit clarification to members, employers and other Priority Health staff

Preferred Qualifications

• 1 year of relevant experience Enrollment
• Working knowledge of Facets, state and CMS requirements
• Bachelor’s Degree Business Administration and/or health related degree or equivalent experience