Enrollment Specialist/Membership Professional



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No. of Openings


Branch Information

Raleigh - Durham NC Area - (USA) 430 Davis Drive Suite 100 NC Morrisville , NC - 27560 Phone : 855-591-7454



Job Description

We are looking to hire Membership Professionals to join our team inside a major health insurance company located in Durham, NC. This position requires strong attention to detail, a high level of independent thinking, experience using Microsoft Access and Word, and able to meet high production metrics with accuracy.

Major Job Functions/Components

* Process new member enrollments, member change requests and terminations. May handle some non-standard enrollments.

* Perform standard and medium complexity group level enrollment for health and ancillary products.

* Maintain membership records, both paper and electronic.

* Schedule the release of member ID cards, Member Guides, group contract(s) and invoices.

* Administer eligibility of new, existing and renewal subscribers/members based on compliance with federal/state legislation, Insurance Department filings, Underwriting guidelines and group or individual contracts.

* Process billing inquiries and reconciliation. Research billing errors and perform or initiate reverse transactions as necessary.

* Research and respond to enrollment errors by telephone or in writing, communicate errors, corrective actions being taken, and/or policies and procedures being enacted.

* Receive and place telephone calls to answer questions or obtain information relating to membership and enrollment, group/individual records, and group/individual contracts. Handle billing and enrollment inquiries from brokers, benefits administrators, and members.

* Process back-end error reports not related to electronic enrollment.

General Job Requirements:

* Minimum High School diploma or equivalent

* 2 years experience working in data entry, accounting, billing, banking or customer service

* Experience using Microsoft Word and Access in a work environment

Interested? Qualified? Apply today!!