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Enrollment Specialist

Alpharetta, Georgia 30009 | Contract

Job ID: 56305 Position: Customer Service Branch: Rancho Cordova
Description: This position is responsible for updating and maintaining accurate eligibility information for all assigned groups and working with Account Executives and billing teams on enrollment discrepancy clean-ups.

Job Description
Reviews and interprets enrollment data received from group contacts, TPAs, Account Executives, and internal contacts and determines required updates to ensure accurate and complete enrollment data for all assigned groups. 
Accurately and efficiently updates enrollment for new and existing clients using multiple systems and drawing from various data sources. 
Works with Account Executives and billing teams to resolve discrepancies. 
Identifies and documents eligibility reporting issues and communicates issues to the Account Executive or other sources. 
Cross trains in multiple functions within the team, as requested. 
Performs miscellaneous duties as assigned. 



CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS
Working knowledge of a financial system, Word, and Excel
Knowledge of enrollment systems. 
Strong analytical and problem solving skills and multi-tasking abilities. 
Detail-oriented; flexible and creative with excellent organizational skills
Knowledge of Delta Dental policies, procedures, and guidelines.
Ability to be a strong team player and maintain confidentiality.
Maintains the strictest patient confidentiality and adheres to all HIPAA guidelines
A minimum of 1 year experience in enrollment and/or billing, processing, or customer service.
Strong process and time management skills. 
Ability to work independently.



EDUCATION, TRAINING & EXPERIENCE REQUIRED
- High school diploma or GED, but candidates with proven experience will not be excluded from consideration.
- Associate degree or equivalent is preferred.
- Minimum of 2 years experience.

COMMUNICATION & INTERPERSONAL SKILLS
Written:
- Ability to clearly present written information and findings.

Verbal:
- The ability to effectively communicate information to all departments.

Interpersonal:
- The ability to interact well with employees and outside contacts.


ESSENTIAL PHYSICAL FUNCTIONS / POSITION REQUIREMENTS / SOFTWARE APPLICATIONS AND/OR EQUIPMENT USED:
- Must be PC literate; MSOffice skills (Word, Excel, PowerPoint).
- Ability to operate standard office equipment (personal computer, photocopy machine, fax machine, etc.).
- Ability to work on a computer up to 7 hours a day.
- Regularly required to sit for long periods of time, and occasionally stand and walk.
- Regularly uses hands to operate computer and other office equipment.
- Close vision required for computer usage.
- Occasionally required to stoop, kneel, climb and lift up to 25 pounds.
- Ability to maintain consistent, regular attendance.
- Ability to report to perform tasks in a physical work office environment.

Understaffing compromises the company' s commitment to world class customer service. Frequent absences disrupt business operations and create additional work for co- workers. Because this position requires specialized training, it is very difficult to find short term replacements, especially for unscheduled absences. Prompt and regular attendance, therefore, is critical to the success of the company' s mission and employees must be conscientious concerning attendance to avoid disciplinary action.

WORKING CONDITIONS
Standard office environment without unpleasant or hazardous conditions. Work requires typical physical demands required for office work.

NOTE: This description is not intended to be construed as an exhaustive list of duties, responsibilities or requirements for the position. This position may be changed or assume additional duties at any time. The employee may be requested to perform different or additional duties as assigned.

Alana Klingman
Recruiter

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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