Enrollment Coordinator

Day-to-Day Responsibilities

Eligibility

Research and resolve eligibility issues

Client-enroll members who have lost eligibility

Notify enrollees of changes in enrollment

Answer phone lines

Assisting patients with eligibility and enrollment over the phone

Building enrollment contracts

Be responsible for performing challenging negotiations and problem resolution.

Be responsible for accurate enrollment and Client-enrollment on DOES.

Reporting in Excel

Prepare yearly enrollment fees, quarterly billing for enrollment fees, receives and posts paid fees, sends out past due notices, collection of overdue fees, and responds to calls regarding status of enrollment fees.

Be responsible for maintaining coordination and reconciliation with the governments information systems including DEERS. PMC's capitation revenue is completely dependent upon this function.

Maintain oversight over the government's application of enrollment policies and procedures

Perform technical processing of enrollment applications.

Enter enrollments and disenrollments in the IDX database.

Clinical Specific Information (providers, patient volumes, team vs. one on one):

Must Haves

1-2 years of healthcare admin experience

Experience with Excel: Wants us to ask them if they know what filter or sort is, pivot tables? (OK with not knowing pivot tables)

Typing speed of 40+ wpm

MUST be able to pass a Credit Check!!

High School diploma, GED or equivalent required.

US Citizenship, required

Required to obtain ADP 2 security status

Friendly, outgoing, no drama

Someone who is looking for a home long-term

Preferred Skills

Knowledge of TriCare or Health Plan is preferred

Any experience working in the insurance industry is a plus!

Experience with a mail merge is a plus!

Bachelors degree preferred