Enrollment Associate

Title: Enrollment Associate

Location: Fountain Valley, CA

Department: Claims

Status: Full-Time

Shift: Days (8hr)

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Position Summary

The Enrollment Associate I is intended as MHS entry level position, responsible for analyzing and maintaining accurate membership eligibility and benefit plan information using the different health plan websites to enroll members through MemorialCare Health System application. The Enrollment Associate I, works under direct supervision from more senior members of the enrollment team, and/or Claims management. The role is responsible for the accurate and timely response to all member eligibility requests and is accountable for the success of assigned task.

Essential Functions and Responsibilities of the Job

• Manage personal queue, issues and tickets in ServiceNow and Workfront: Complete documentation, contract information and follow-up communication once issue is resolved.
• Maintain regular user contact and attend relevant meetings, and assists with contact for IS to ensure communication, collaboration, and teamwork. Identify and resolve problems and issues that arise in the application.
• Develops and maintains an ongoing awareness of MemorialCare’s healthcare information systems initiatives, emerging technologies, and relevant laws and regulations in providing ongoing and competent support for assigned areas of responsibility.
• Complies with all Claims/IS Policies, Procedures and Standards including: Project Management tools/methodologies, Network/Systems Workstation Security, HIPAA Privacy and Security Regulations associated with Electronic Protected Health Information (ePHI).
• Be at work and be on time
• Follow company policies, procedures and directives
• Interact in a positive and constructive manner
• Prioritize and multitask

• Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• A minimum of one year experience in a business office environment preferred.
• Must possess strong 10-key skills. Accurate data entry or typing skills necessary. Basic insurance knowledge required.
• Good written and verbal communication skill

Education/Licensure/Certification:

• High school graduate or equivalent.