Enrollment Coordinator

Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world.

Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards. This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information. Facilitate problem resolution through investigation and collaboration as needed.

Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards.

Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures

Courteously provide internal and external customers with information and education regarding the government programs enrollment process, eligibility, COBRA and HIPAA regulations.

Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.

Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner. Performs reconciliation work on accounts/cases.

Ensure inventory of enrollments and customer inquiries are resolved within established guidelines. Monitor and maintain data content of membership via various databases.

Maintain general knowledge of other functional areas of the system and PH to better assess impacts on enrollments.

Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters. Accurately communicate to leader critical customer issues.

Qualifications:

Required High School Diploma or equivalent

Preferred Associate's Degree

2 years of relevant experience Two years of experience in a health related field. Required

Enrollment position preferred. Preferred

Experience with Medicare/Medicaid regulations. Preferred

Specific Skill Set Requirements: Quick learner, previous enrollment experience preferred.

Promptly and effectively process all enrollment requests in compliance with all regulatory requirements and accreditation standards.

This includes timely entry and maintenance of data after review and analysis of electronic and hard copy information.

Facilitate problem resolution through investigation and collaboration as needed.

Listed salary ranges may vary based on experience, qualifications, and local market. Also, some positions may include bonuses or other incentives.

Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.

About Stefanini Group:

The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company.