Individual Enrollment Oversight & Quality Specialist
WA Other Telecommuter, United States
R
USD 41K-71K Mid-level Full Time
Tasks
- Apply contractual state and federal guidelines
- Conduct performance audits
- Contact customers or producer agents for clarification
- Determine course of action and escalate issues
- Educate agents and members on billing and membership rules
- Identify recommend and implement process improvements
- Maintain current departmental policies and procedures
- Process plan changes and eligibility updates
- Research eligibility issues
- Research troubleshooting issues
- Review plan provisions
- Support processing systems and software
- Track monitor update audit findings action plans
Perks/Benefits
- Commuter benefits
- Employee recognition program
- On-site parking
- Paid time off
- Retirement plan match
- Tuition assistance
- Wellness incentives
Skills/Tech-stack
Audit management | Audit tracking | Billing | Customer Service | Data Quality | Eligibility Management | Process Improvement | Reconciliation | Troubleshooting
Education
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