Responsible for processing and managing member enrollments, ensuring accuracy and adherence to regulatory requirements.
Does this position require Patient Care? No
Essential Functions
- Process new member enrollments, ensuring all required documents are accurately completed and submitted.
- Accurately enter member enrollment data into the enrollment system or database.
- Maintain comprehensive and up-to-date records of all member enrollment activities and communications.
- Respond to member inquiries and concerns regarding the enrollment process, benefits, and coverage.
- Ensure compliance with all applicable regulations, policies, and procedures related to member enrollment.
- Collaborate with cross-functional teams, such as customer service, claims, and finance, to ensure a seamless member enrollment experience.
- Assist in training and mentoring new Member Enrollment Representatives, providing guidance on enrollment procedures and best practices.
Education
- High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred
Can this role accept experience in lieu of a degree?
No
Experience
- At lest 2-3 years of experience in member enrollment or a related administrative role in the healthcare or insurance industry required
Knowledge, Skills and Abilities
- Solid understanding of member enrollment processes, regulations, and compliance requirements.
- Proficiency in data entry and knowledge of relevant computer applications and software.
- Excellent attention to detail and accuracy in handling sensitive member information.
- Strong organizational and time management skills to prioritize tasks and meet enrollment deadlines.
- Exceptional customer service and communication skills, both written and verbal.
- Ability to handle complex enrollment issues and resolve member inquiries effectively.
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs - 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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Mass General Brigham Health Plan
Feb 24, 2025