Enrollment Analyst I - KelseyCare - Kelsey Seybold Clinic - Pearland Admin Office
- This role includes handling calls from members, clinics, or health plan reps to sort out any eligibility queries, as well as making calls to confirm members' enrollment status
- The job requires analyzing eligibility documents, using a variety of system applications and databases to process files, addressing eligibility edits, and keeping the enrollment system data updated for over 100,000+ managed care members
- Additionally, the role covers updating member eligibility, supporting the processing of data files from employer group health plans, managing enrollments, handling necessary member communications, and helping with system testing
- High School diploma or GED from an accredited program
- 1+ years Healthcare Industry or 6+ months experience working in KelseyCare Advantage Sales
- Some college or technical school
- 1+ years background in enrollment and/or reconciliation
- Experience in Customer Service in Healthcare Industry
- Experience with CMS and/or
- Knowledge Medicare Advantage enrollment process
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