Enrollment & Eligibility Specialist
Company: HSA Insurance
Posted on: August 7, 2022
Job Description We're seeking an Enrollment & Eligibility
Specialist to perform underwriting, eligibility and enrollment
functions pertaining to our private exchange business. The position
requires the timely and accurate response to and resolution of
client specific requirements in order to ensure appropriate access
to health care services. Successful candidates will have strong
decision making and analytical abilities, and a passion for
delivering exceptional service. Responsibilities Responsible for
the timely and accurate response to and resolution of client
specific requirements in order to ensure appropriate access to
health care services: Respond quickly and accurately to all
requests and inquiries, demonstrating expertise and knowledge of
products and processes. Facilitate escalations when appropriate.
Researches, analyzes and resolves membership applications and/or
electronic enrollment reports for processing. Effectively
communicate with clients, brokers and carriers to confirm
information submitted is accurate and ensure the timely
effectuation of new coverages and changes to existing coverages.
Respond to sales and broker inquiries regarding the status of new
applications. Maintain a thorough and up-to-date understanding of
health insurance carrier eligibility guidelines and processes.
Serve as the go-to resource for addressing documentation and
process requirements. Support annual open enrollment initiatives
and the annual/quarterly plan renewal process. Participate in
efforts related to the development and documentation of department
policies and procedures. Navigate a computerized data entry system
and other relevant applications. Additional duties as assigned.
Qualifications: BA/BS degree in business or related field.
Excellent communication, collaboration and problem-solving skills.
Ability to effectively multi-task and possess excellent attention
to detail with exceptional follow-up skills. Analytical skills with
the ability to learn and apply new concepts and technologies
quickly and efficiently. Proven track record of dependability and
reliability with an exemplary attendance record Self-motivated with
the ability to work well independently and as part of a team with
minimal direct supervision. Passion for driving innovation,
encouraging growth, and striving for constant improvement.
Proficient in Microsoft Office, specifically Excel, with the
ability to analyze and manipulate data from multiple sources. Prior
experience in the health insurance industry is a plus. HSA
Insurance is an inclusive Equal Employment Opportunity
Keywords: HSA Insurance, Boston , Enrollment & Eligibility Specialist, Other , Braintree, Massachusetts
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