Professional Technology Integration
Location
Nashville, TN | United States
Job description
Job Details
:PositionEnrollment Specialist (Ref: 15216)
:LocationNashville, TN 37243 USA
:Duration1 Years 3 Months 30 Days - Contract
:Openings1
:Deadline03/13/2024
Pay Rate:
Description:
**Onsite
We are seeking an Enrollment Specialist for enrolling and disenrolling members. Due to the implementation of a new eligibility system, the enrollment team needs additional assistance to manage the workload. The implementation requirements have increased the workload of existing team members and additional support is needed to maintain daily functions of the enrollment team to ensure enrollments and disenrollment's are handled timely and accurately.
The contractor role will allow the enrollment team members to manage related work, including monitoring and reporting defects, process improvements, and required work related to additional implementation phases. The contractor will provide needed assistance for the full redetermination process, ensuring no members lose eligibility that are attempting to go through this process.
Enrollment functions:
• Reviews enrollment details and effective dates to ensure accuracy prior
to enrolling member.
• Works with team members to determine appropriate program enrollment.
• Enters, deletes, and revises enrollment related actions in the system.
• Assists in the redetermination process and submits lists of all members to be renewed to appropriate
external partners.
Disenrollment functions:
• Reviews and processes all requested and approved disenrollments,
whether voluntary or involuntary, for members in an accurate and timely
manner.
• Ensure effective dates are accurate and research discrepancies related to effective
dates, preventing eligibility issues for members, providers, and MCOs.
• Communicate disenrollment's for the program-to-program leadership.
• Transcribe approved determinations from the system into the system to allow for additional enrollment and eligibility actions to be taken on completed records.
Minimum qualifications
• Graduation from an accredited college or university with a bachelor’s degree or graduation from an accredited college or university with an associate degree and two years of qualifying professional experience
• Excellent verbal and written communications skills
• Proven technical skills (e.g. Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)
• Excellent time management skills and ability to multi-task and prioritize work to meet specific timeframes and deadlines with minimal supervision.
• Keen attention to detail and adherence to deadlines Organization
• Self-motivated and able to thrive in a fast-paced and results-driven environment.
• Critical thinking and problem-solving skills
Required / Desired Skills
- Graduation from an accredited college or university with a bachelor’s degree or graduation from an accredited college or university with an associate’s degree and two years of qualifying professional experience (Required 4 Years)
- Critical thinking and problem-solving skills (Required 4 Years)
- Excellent verbal and written communications skills (Required 4 Years)
- Proven technical skills (e.g. Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.) (Required 4 Years)
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