Job Description

Our Mission:  Provide the best value in health insurance and related health services to improve the quality of life for Arizonans.

Our Vision: 

Inspire health in Arizona as the trusted leader in delivering affordable, innovative healthcare solutions.

Our Benefits: Our benefits provide work-life balance and the flexibility you need to be your best. We offer comprehensive medical, dental, and vision coverage; a 401K savings plan; paid holidays and vacations; and much more!

Position Purpose:  The Contact Center Enrollment Coordinator provides support to the Health Choice Contact Center by processing enrollment applications with quality and efficiency and assists in all aspects of the enrollment/disenrollment process by following reporting requirements and ensuring all transactions are in accordance with Centers for Medicare and Medicaid Services (CMS) regulations.

  • Process new member enrollments including verification of eligibility for Medicare and Medicaid
  • Maintain files of every enrollment application received by Health Choice Generations along with copies of enrollment/disenrollment communications
  • Submit enrollment and disenrollment’s transactions to CMS timely and accurately 
  • Create and mail member enrollment/disenrollment communications
  • Comply with CMS reporting requirements and standards
  • Retrieve reports/files from CMS and reconcile the data received from CMS
  • Identify and resolve enrollment issues
  • Implement process updates/changes appropriately
  • Monitor and maintain out of service area/Loss of Special need status membership to determine when involuntary disenrollment’s should be processed
  • Answer enrollment inquiries from internal/external Brokers via assistance line
  • Serve as back-up phone coverage for the Contact Center in adherence to department benchmarks and performance measures.

Education / Experience / Other Requirements

Education:   

  • High School Diploma or equivalent GED preferred

Years of Experience:  

  • At least one (1) year of customer service experience preferred
  • At least one (1) year of call center environment preferred
  • At least two (2) years customer service experience in the area of Medicare Advantage Plans preferred

Specialized Knowledge:  

  • Active listening skills, highly empathetic, conflict resolution skills
  • Excellent verbal and written communication skills
  • Proficient computer skills, typing, and multi-systems navigation
  • Advanced Knowledge of Microsoft Office: Word, Excel
  • Effective time management, organizational, and communication skills

  • Knowledge of CMS regulations and guidelines helpful
  • Knowledge of medical terminology helpful
  • Strong ability to logically resolve issues and interpret findings
  • Work cooperatively, positively, and collaboratively in an interdisciplinary team
  • Ability to manage multiple tasks and prioritize work to adhere to deadlines and identified time frames
  • Ability to maintain positive work environment and relationships

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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