Enrollment Data Specialist
- Determine Member’s eligibility and process request according to regulatory guidelines. Eligibility Extract and account billing analysis.
- Perform research and resolves errors/ discrepancies related to transactional data within internal systems.
- Submission of enrollment and eligibility disputes to regulatory entity Completion of internal case inquiries: enrollment and/or billing Reconciliation of accounting and membership data to align with regulatory entity.
- Processing account refunds.
- Responsible for staying up to date with the latest communications, regulatory requirements, industry best practices, and guidance provided by regulatory entity.
- Must have high school diploma or GED.
- Two (2) years of Health insurance, managed care or customer service experience.
- Knowledge of eligibility files/premium billing, Medicare preferred.
- Medicaid/Chip familiarity highly preferred.
- Microsoft Office (Word, Excel and Outlook) experience is a preferred.
- Work Schedule: Monday – Friday, 8:00 a.m. – 5:00 p.m., with no weekends to offer a good work/life balance.
- Position will start in office for training and once training is completed will have the opportunity to work from home.
- During employment with Team1Medical Staffing, you can enroll in our benefits program, including medical (3 plans to choose from), dental, disability, critical illness, life, vision, accident, and behavioral health insurance. Additional benefits include 401K, direct deposit, and our referral bonus program!