Enrollment Oversight & Quality Specialist
WA Other Telecommuter, United States
R
USD 41K-71K Mid-level Full Time
Tasks
- Conduct performance audits for accuracy timeliness and compliance
- Coordinate audit processes and track action plans
- Educate agents and members on membership billing and administrative rules
- Ensure compliance with federal and state regulations
- Process plan changes and eligibility enrollment and billing updates
- Provide enrollment clarification to customers and producers
- Recommend and implement process improvements
- Research complex eligibility issues
- Review plan provisions and apply enrollment rules
- Review procedures and training materials
- Troubleshoot processing system and software issues
Perks/Benefits
- Commuter benefits
- Employee recognition program
- Life and disability insurance
- Medical, dental, and vision insurance
- Mindfulness and Stress Management Programs
- On-site parking
- Paid time off
- Retirement plan with employer match
- Tuition assistance
- Wellness Incentives and Counseling Services
- Wellness and Fitness Center Access
Skills/Tech-stack
Contract interpretation | Customer Service | Data Reconciliation | Eligibility Administration | Enrollment processing | Federal regulations | Performance auditing | Process Improvement | Regulatory Compliance | State regulations | Troubleshooting
Education
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