Assist the director in supporting Enrollment and Eligibility tech work and actively involved in Phyton, SAS and SQL coding.
Provide guidance for team and management regarding automation and help to proactively to help in solutioning.
Assist the director in developing and analyzing appropriate tools for automation.
Promote the use of accepted best practices and innovative strategies.
Assist the team in resolving administrative and routine operational issues as they arise.
Roles & Responsibilities
Develop, refine and implement effective policies and procedures, and subsequent training, to ensure all team members are able to perform properly.
Assist with new client implementation support to ensure timely, accurate delivery enrolment data, claim data entry, system set-up, cross-departmental communication, standard reports, and exception reporting.
Develop knowledge in ACA Exchange, Centre's for Medicare & Medicaid Service, Self-Funded, and all other applicable regulatory agencies that govern the enrollment data both received via electronic data interface (EDI) and non-EDI.
Identify way to improve ongoing reconciliation of group and agency enrollment data, including proactively reporting and resolving discrepancies.
