Enrollment Processor

Your Role 

The Enrollment processing department is responsible for the installation and processing of member and group level enrollments. The Enrollment Processor, Intermediate, will report to the Operations Supervisor. In this role you will assist with the installation of new memberships, processing maintenance requests, and reviewing and processing various new and existing reports as well as ad-hoc requests throughout the year to support various initiatives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

Your Work 

In this role, you will: 

• Independently process enrollment transactions, resolving routine and moderately complex issues

• Contact internal and external partners to obtain information required to complete processing

• Apply foundational knowledge of enrollment systems, codes, and processes to meet production and quality standards

• Research information as appropriate to resolve inquiries and escalations

• Look up correct codes and enter data into system

• Access and navigate various systems of record to perform required job duties

• Manage department specific desktop level procedures, training content, and projects as warranted by business needs

• Enter and retrieve data using standardized keyboard functions

• Be able to adapt to change

Qualifications

Your Knowledge and Experience 

• High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma 

• Requires at least 3 years of prior relevant experience

• Knowledge of medical plans and benefits 

• Requires basic job knowledge of systems and procedures within Enrollment Processing

• Large group, Small group, Commercial, Medi-Cal, CalPERS knowledge preferred 

• Facets and Salesforce experience preferred

• Ability to communicate effectively with all levels of leadership

• Self-driven and able to operate in the best interests of our clients, our company and team with limited supervision or oversight