Enrollment Specialist

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

• Process enrollment transactions for our Commercial Group Employers with accuracy.

• Standard hours must be worked in office.

• OT hours will be allowed to be worked from home/remotely.

Qualifications

Required Experience:

• Previous enrollment processing experience and astute analytical skills to interpret complex eligibility files and data.

• High School diploma.

• Excellent computer skills proficiency with Microsoft Office applications.

Additional Information

Job Responsibilities:

• Promptly and effectively process all commercial enrollment requests in compliance with all regulatory requirements and accreditation standards.

• This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.

• Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards.

• Communicate as required with internal/external customers regarding member enrollment status through Facets documentation, phone calls and written correspondence, including use of approved form letters.

• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies.

• Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.

• Courteously provide customers with information and education concerning government program enrollment processes and requirements.

• Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.

• Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process.

• Able to follow directions without supervision

• Periodic over-time hours are required throughout the assignment and especially during holidays.