ENROLLMENT SPECIALIST

Cambridge MA 02141 58 Charles Street

Job Description

This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.
  • Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.  
  • Communicates with appropriate contacts on eligibility issues and questions.  
  • Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.  
  • Proficient use of enrollment and claims point of sale for research and problem resolution.
  • Assists in data collection and reporting.  
  • Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
  • Assists with quality monitoring and provides constructive feedback.
  • Reviews production reports, identifies issues and recommends resolutions.
  • Continually seeks to improve processes and increase efficiencies.
  • Assists in data collection and reporting.
  • Other special projects as required by management.

General Job Information

Title

ENROLLMENT SPECIALIST

Grade

17

Job Family

Customer Service Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

3/15/2019

Date Requisition Created

3/15/2019

Minimum Qualifications

Education

Bachelors

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • Must be a team player, flexible, organized and able to manage multiple tasks.
  • Possess strong verbal and written communication skills.
  • Possess interpersonal skills such as initiative, resourcefulness and integrity.
  • Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor.
  • Strong computer skills and working knowledge of Microsoft Office Suite.
  • Ability and willingness to learn other proprietary computer systems quickly and efficiently.
  • Experience in health care, managed care or pharmacy management preferred.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

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