Enrollment Coordinator

Carle Foundation

Job Description

The Enrollment Coordinator processes applications for, changes to, reinstatement of, and cancellation of insurance policies. Verifies eligibility requirements to meet Department of Insurance and Medicare regulations along with standards set by the organization for Individual, Medicare and commercial groups enrollees. Analyze data received from various sources, to ensure accuracy of the claims and billing system.

Three (3) years of general-administrative office experience OR Three (3) years health insurance experience OR Three (3) years of member enrollment experience

Ability to interpret, document and record information quickly and accurately. Ability to perform at a constant pace while completing multiple tasks under the pressure of deadlines. Ability to work with minimal supervision. Must have strong research abilities and also be willing and able to handle change. Must have the ability to communicate effectively with internal and external customers. Microsoft office skills including Word and Excel are required.

Essential Functions:

Processes, records and issues new insurance policies. Modifies, updates and processes existing member policies to reflect any change in beneficiary, demographics, amount of coverage, or type of insurance to ensure accurate billing to members. Calculates, enters and communicates premium information to members.
Analyze and reconciles regular internal and external reports to ensure accuracy and integrity of system information.
Serves as Subject Matter Expert for other departments regarding enrollment processes and procedures. Must maintain current awareness and understanding of CMS Medicare Marketing and Enrollment Guidelines, and Illinois Division of Insurance regulations, including the Federally Funded Marketplace.
Must meet & maintain production expectations and competencies set by the organization.
Create and maintain professional relationships with internal and external customers.

Employment Type

Full - Time

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