Enrollment Specialist - San Juan, PR

Tasks

• Assist members with enrollment issues
• Assist members with premium payment issues
• Comply with HIPAA
• Correct billing discrepancies
• Enroll members into system
• Ensure application accuracy completeness
• Follow protocols policies and standard practices
• Generate monthly premium bills
• Implement enrollment contracts in system
• Install employers contracts
• Process member identification validation enrollment billing
• Reconcile accounts after member termination
• Reconcile billing discrepancies
• Reconcile enrollment discrepancies
• Record payments received
• Review customer applications eligibility fallouts
• Update payment types as requested

Perks/Benefits

• Career development
• Comprehensive benefits
• Inclusion culture

Skills/Tech-stack

Account Reconciliation | Claims Processing | Eligibility Management | HIPAA compliance | Medical billing | Microsoft Office | Payment Reconciliation