Position Overview Duration:
12 Months Location: Baltimore, MD 21224 (Hybrid) This is a hybrid role. The candidate will support client and operational teams remotely while participating in periodic in-office meetings, training, and team collaboration sessions. Top 5 Required Skills Healthcare eligibility and enrollment experience Knowledge of group administration and member enrollment processes Strong customer service and communication skills Attention to detail and data accuracy Experience researching and resolving enrollment discrepancies Purpose The role is responsible for ensuring that members are accurately enrolled into our member enrollment systems in a timely manner, and according to the account contract or service agreement for complex accounts. To accomplish this, the associate in this role may interact and coordinate activity with key client account contacts, subscribers, our Sales, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation Division of other Client Plans.
Essential Functions:
70% Enroll subscribers and dependents for all lines of business as requested via fax, U.S. mail, and/or e-mail for complex accounts. Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events. Complete monthly reconciliation processes and resolve discrepancies in a timely manner. 20% Coordinate with the Account Installation Team as it pertains to member identification card process to ensure cards are not released until all enrollment updates are completed and audited. Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill. 10% May assist with initial training for new hires and training refreshers for experienced hires.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Level High School Diploma or GED Experience 3 years' experience in membership enrollment, member services, billing, claims operations, and/or data analysis Preferred Qualifications Must be able to work effectively in a team environment, Proficient Must be able to adapt swiftly to multiple and rapidly changing priorities, Proficient Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Proficient Must be able to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate system, Proficient Must be able to utilize Microsoft Office Suite, especially Excel, Proficient Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
