Job Description

Enrollment Specialist, Bilingual English and Spanish Preferred

Under direct supervision, the Enrollment Specialist is responsible for serving as the initial point of contact for community members inquiring about health services and making appropriate referrals to internal and/or external resources. Be responsible for timely enrollments and facilitation of initial screening of clients per contract. This position is 100% Onsite and NOT Remote.

Enrollment Specialist Responsibilities:

- Respond to calls from potential members and existing members.

- Verify client insurance eligibility.

- Perform enrollment and schedule client enrollment appointments in a timely manner.

- Perform enrollment and eligibility data submission and reconciliation.

- Provide feedback to improve existing enrollment and eligibility procedures.

- Maintain productivity and quality standards as directed.

- Produce scheduled reports for in-house and external agencies.

- Perform other duties as assigned.

Qualifications

Enrollment Specialist Qualifications:

- High School diploma or GED plus two (2) years full-time data entry experience in membership, claims processing and/or encounters in a managed care or Behavioral health services environment.

- Bilingual English/Spanish is preferred.

- Possess a valid Arizona driver’s license.

- Able to work flexible schedule as needed.

- Able to positively interact and develop rapport with customers and coworkers.

- Able to sit for extended periods of time.

- Demonstrate competency in the following areas: Manual dexterity to keep written documentation. Able to use a personal computer and telephonic communications equipment.

- Ability to read handwritten and printed documents and records.

- Ability to perform analysis of information.

- Ability to move around an office environment.

- Ability to effectively communicate verbally and in writing.

Keywords: Tucson AZ Jobs, Enrollment Specialist, Data Entry, Claims Processing, Behavioral Health Services Environment, English, Spanish, Bilingual, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting

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Additional Information

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