Enrollment Specialist
Job Description
job summary:
This Enrollment Specialist will be responsible for reviewing and interpreting data to accurately enter members into eligibility systems according to appropriate regulatory guidelines. Will access state and federal government systems to review and confirm eligibility status. Will also be required to process paper applications received.
location: Atlanta, Georgia
job type: Contract
salary: $15 - 16 per hour
work hours: 8am to 5pm
education: High School
responsibilities:
Process work items according to appropriate regulatory guidelines
Review files and interepret the data to enter members into eligibility systems
Completion of daily changes file pre-procssor exceptions and monthly full file pre-processor exceptions
Research member eligibility and take appropriate actions to resolve issues across all eligibility systems
Process mass Primary Care Physician (PCP) changes with Provider Operations
Research, review, and interpret eligibility data to respond to eligibility inquiries from contracted vendors
Access state and federal government systems to review and confirm eligibility status
Process paper applications received for all applicable lines of business
Inbound phone coverage to answer inquiries from both internal and external customers
Complete all required corporate training within stated timelines
qualifications:
- Experience level: Experienced
- Minimum 2 years of experience
- Education: High School (required)
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate\'s education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
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Job Detail
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Job IdJD4339348
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:$15 - 16 per hour
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Employment StatusPermanent
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Job LocationAtlanta, GA, United States
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EducationNot mentioned