Enrollment Representative II

This is a fully remote position, open to applicants in United States.

📋 Description

• Process enrollment forms and spreadsheets for both new and existing groups, including COBRA.

• Handle change of address forms.

• Review and manage enrollment modifications, such as adding or removing dependents and adjusting effective or termination dates.

• Investigate and rectify ID cards that are returned due to missing addresses.

• Address issues related to vision error reports.

• Assist with electronic group error reports when necessary.

• Conduct quality assurance reviews of enrollments for other Eligibility Representatives.

• Maintain communication with all internal departments and employer groups.

• Aid in the training of new Enrollment employees.

• Complete special projects as assigned by management and perform tasks necessary to ensure the eligibility department operates efficiently and cost-effectively.

• Review and update automated reporting as assigned.

• Collaborate with groups, TPAs, and internal departments for changes to EDI files, providing testing and approval for production.

• Address discrepancies for large or complex groups.

• Process EDI files as assigned.

• Serve as a liaison for groups and brokers concerning enrollment-related inquiries.

• Respond to emails submitted to the Enrollment inbox as needed for backup.

• Process enrollment forms and spreadsheets for new and existing electronic groups as required.

• Ensure adherence to HIPAA and other regulatory standards.

• Support the eligibility call center.

⛳️ Requirements

• High school diploma or equivalent is required.

• 1-3 years of administrative experience is required; knowledge of dental insurance is preferred.

• Proficient in MS Word, Excel, and 10-key.

• Ability to solve problems swiftly and automate processes.

• Self-motivated with the capacity to work under minimal supervision.

• 2-4 years in a related role is preferred.

• 2-4 years of dental insurance knowledge is required.

🏝️ Benefits

• Medical.

• Dental.

• Vision.

• 401(k).

• Student loan assistance.

• Six weeks of paid parental leave.

• Volunteer PTO.