Prov Enrollment Spec 2 - RM

Job Responsibilities:

• Be available to handle member and Provider inquiries.

• Processing enrollment information, assist with making changes as needed, and completing any needed cancellations.

• Complete life events, enrollment tasks, eligibility reconciliation and other key tasks as it relates to Enrollment & Eligibility. 

• Building a positive rapport across a variety of personality types.

• Identifying and resolving customers’ issues using problem-solving skills.

• Continually maintaining a working knowledge of our clients’ products and services.

• Putting the customer first and remaining polite and professional at all times

• Documenting all customer information and communications in the system.

Qualifications:

• Health insurance experience preferred.

• High School diploma or equivalent is required.

• Has substantial understanding of the job and applies knowledge and skills to complete a wide range of tasks.

• Experience with Market Place and/or Covered California is strongly encouraged.  

• Experience with reading/understanding 834 – Enrollment Transactions is strongly encouraged.

• Ability to thoroughly understand a large, complex organization and its functional policies, processes, and customers.

• Excellent written and verbal skills.

We are an Equal Opportunity Employer.  All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.