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Work Schedule/Shift

Day

Job ID

5000497814206

Req. No

70039600

Job Title

Enrollment Analyst

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Enrollment Analyst Job in Irving

Under the supervision of the Eligibility Supervisor, this position will provide efficient and timely processing of Medicare Enrollments and Project Requests. The associate will prioritize and coordinate daily tasks and projects. This positions core responsibilities include, pulling eligibility data for regulatory reporting requirements, analyzing eligibility data, and working creating statistical reports for the Eligibility Quality Auditors. This position's core responsibilities include, but are not limited to enrolling new members, update existing members, review/update eligibility, and disenroll members in the appropriate resources. This associate will be responsible for researching complex problems using available resources and implementing solutions to mitigate any future issues. This position will be responsible for working various workgroup queues, and other duties as assigned. The core responsibilities will be aligned with the timely and accurate entry of all phases of the enrollment process and coordination/communication across departments, internal and external customers, for an exceptional level of service to our members.

MAJOR RESPONSIBILITIES
  • Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
  • Maintain knowledge and expertise in eligibility, enrollment, and program specifications for U.S. Family Health Plan, Medicare, and the Federal marketplace
  • Enrollment activities for members via paper, file transfer, or internet enrollment processing
  • Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
  • Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
  • Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
  • Responds to internal and external customer inquiries regarding eligibility and related functions
  • Enters information during the enrollment process that assists claims personnel in claim adjudication including COB
  • Performs reconciliation of data across multiple sources
  • Receives and works with incoming eligibility from a variety of sources
  • Consistently meets or exceed department and company standards and expectations including but not limited to quality, productivity and attendance
  • Provide vendor assistance
  • Maintain confidentiality for all customers
  • Ability to read, comprehend, and adhere to all CMS regulatory requirements
  • Analytic ability to organize and prioritize work to meet deadlines
  • Strong computer application skills including Microsoft Word, Excel and Visio
  • Excellent written and verbal skills required
  • Good judgment, initiative and problem solving abilities
  • Ability to handle and resolve complex issues with little assistance
  • Ability to perform multiple tasks simultaneously
  • Ability to communicate effectively
  • Three years healthcare experience with Managed Care experience preferred
  • Three years of Medicare Enrollment experience strongly preferred
  • Driver's License
  • Ability to obtain a Common Access Card (CAC) Preferred but not required -- Requires the complications of a Public Trust Background check, Fingerprint Check, and Credit Check
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