Enrollment Specialist
Axelon Services Corporation
Marshfield, WI
Apply
JOB DETAILS
LOCATION
Marshfield, WI
POSTED
13 days ago
Job Title: Enrollment Specialist
Location: [Location]
Pay: [Pay]
Primary Responsibilities
- Ensure positive customer interactions with Security Health Plans members.
- Interact with members, applicants, providers, and agents via telephone.
- Identify customer concerns and research and resolve inquiries in a timely manner.
- Participate in continual training and coaching to enhance customer service skills.
Essential Job Functions
- Provide accurate and timely answers to benefit, coverage, premium, and claims questions to ensure member satisfaction.
- Coordinate out-of-area or non-affiliated provider referrals for members requiring care outside of the service area.
- Answer Center for Medicare and Medicaid Services (CMS) test calls to ensure compliance with CMS guidelines.
- Assist Federally Facilitated Marketplace (FFM) members in updating financial and subsidy information for ACA compliance.
- Document interactions with members electronically to maintain accurate member records.
- Utilize electronic systems to verify and assist members with wellness benefits queries.
- Troubleshoot online portal and secure email issues for member access to information.
- Assist members in filing complaints or grievances using internal and/or federal guidelines.
- Participate in continual coaching to maintain call volume, processing metrics, and accuracy goals.
- Regular attendance is required to carry out the essential functions of the position.
- Review and meet ongoing competency requirements to maintain role-specific skills and abilities.
Additional Duties
- Assist current Medicare Advantage members with plan changes using CMS-provided scripts.
- Perform other duties as assigned.
Job Qualifications
Education
- Minimum Required: None
- Preferred/Optional: Associate or Bachelors Degree in business administration.
Experience
- Minimum Required: Two years experience with customer service and proficiency in handling high-pressure situations.
- Preferred/Optional: Experience working in a health insurance call center.
Certifications/Licenses
- Minimum Required: None
About the Company
A