Enrollment Specialist Job at MMM Holdings
LE0002 MMM Holdings, LLC
REQUIREMENTS
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Works with the daily operational processes of the Enrollment Department. Prepare and Analyze daily and weekly enrollment reports as per schedule and requested. Maintain compliance with CMS and Company’s policies and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Analyze and validate the needed steps of eligibility process of the Enrollment application.
- Process enrollment applications, disenrollment request, PBP Changes and Cancellation request.
- Work with On Base Program and understand the different workflows and queues.
- Work with Customer Service Application Programs on a daily basis.
- Ensure that all eligibility and demographic changes received from the beneficiary are process in an accuracy and timely matter.
- Ensure privacy and confidentiality of the protected health information (PHI) and corporate information accessible as part of the position’s functions.
- Coordinate sales and customer service incident process and inquiries response.
- Analyze, provide input, feedback and guidance on the resolution of member enrollment inquiries and service requests.
- On a daily basis revise that all complete, incomplete and denial letters are process as required.
- Comply with the monthly close process, including any reporting requirements.
- Ensure timely Compliance and quality within required Reports.
- Ensure the privacy and confidentiality of the protected health information (PHI) and corporate information accessible as part of the position’s functions.
REQUIREMENTS
- Bachelor degree completed
- 2 year of previous related experience
- Fluency in English language
- Experience working with On Base system
GENERAL SKILLS
- Understanding in the process flow for the enrollment and PBP applications.
- Understanding in the process flow for a Incomplete applications.
- Understanding in the process flow for the disenrollment and cancellation requests.
- Understanding in the process flow for the enrollment files and basic file setup.
- Time Management Skills: establishing priorities and accomplishing tasks in a timely manner
- Software packages such as Office – Word, Excel and Power Point and Outlook.
- Ability to master MMM Healthcare Inc., membership system, Continuum Performance System, in a very short period of time.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
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