Member Enrollment Specialist

Member Enrollment Specialist

25 Feb 2024
Utah, Salt lake city, 84101 Salt lake city USA

Member Enrollment Specialist

START DATE: 3/25Description:

Provides phone support and creates and maintains Government and/or commercial insurance member eligibility records

Resolves eligibility discrepancies and questions and provides support and expertise for one or more insurance lines of business and or/business processes

Provides feedback on testing of new applications or changes to existing system

Runs and distributes eligibility audit queries

May be asked to make small number of scripted outbound calls

Handles escalated calls and resolves them from other departments, and members

Processes 834 files for UT, NV, CO, ID

Additional Skills & Qualifications:

Functions well in difficult situations including conflict resolution in a team environment

Proficient in Facets or similar eligibility system

Experience with Federal and State regulations which govern employer policies and procedures

Intermediate knowledge of enrollment reconciliation processes

Work Environment

Mon-Fri. 8-5:30

8 caregivers on this team

Navigating multiple screens and systems

Fully onsite

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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