JOB REQUIREMENTS: Overview Responsible for the membership enrollment area for all lines of business and MercyCare products. Will handle day-to-day member enrollment data entry, maintenance processes and functions using managed care software. Process, maintain and problem resolution of electronic enrollment files. Organizes and maintains materials for customized benefit packages for all insurance products. Responsible for the member identification card process and materials for all products. Responds to all internal and external customer inquiries regarding enrollments and plan documents. Management of Enrollment work queues to review or correct records for timely processing. Membership downloads from secure sites for groups, including monthly file compare and maintenance. Maintains a variety of guides, visuals, handouts, or training documents for the purpose of providing current reference materials to comply with established guidelines. To perform this job successfully, an individual should have knowledge of membership and group enrollment processing systems; Spreadsheet software and Word processing software. Successfully able to fulfil all responsibilities of the Enrollment Representative 1 and Enrollment Representative 2 roles Able to work with minimal supervision and performs other duties as assigned. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES Creates alternatives and identifies key requirements to assist with process improvements and workflows Problem investigation ranging from moderate to complex situations or data requires detailed review of factors and issues between departments and outside contacts Follow policies and procedures and adapt to changes Demonstrate accuracy and thoroughness and improve and promote performance quality Responds promptly to requests and assistance and maintains confidentiality and respect Skillfully identify and resolve problems in a timely manner Demonstrate persistence and overcome unexpected obstacles Display willingness to make and follow through with decisions Ability to write routine reports, correspondence and participate in the development of formal policies and procedures Assists with training and mentor\'s enrollment staff Review and process of adult dependent verification Coordination of Benefits (COB) processing and maintenance Coverage review and maintenance related to pharmacy, retiree and Medicare Review and maintenance of coverage records for Medicaid encounter data and capitation reports May be responsible for correction of highlycomplex enrollment issues and system set-up Research coverages of insurance companies through phone, web, or contracts Provides feedback or updates to the supervisor on a regular basis Analyze enrollment or coverage related issues to investigate root... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/7ED7EF2FC3984EF8