Promptly and effectively process all 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. Facilitate problem resolution through investigation and collaboration as needed.
Process enrollment requests in a timely and accurate manner in compliance with state and federal regulations and accreditation standards. Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures Courteously provide internal and external customers with information and education regarding the government programs enrollment process, eligibility, COBRA and HIPAA regulations.
Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process. Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner. Performs reconciliation work on accounts/cases.
Ensure inventory of enrollments and customer inquiries are resolved within established guidelines. Monitor and maintain data content of membership via various databases. Maintain general knowledge of other functional areas of the system and PH to better assess impacts on enrollments.
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. Accurately communicate to leader critical customer issues. Qualifications Required High School Diploma or equivalent 2 years of relevant experience 2 years of experience in a health related field Preferred Associate's Degree Enrollment position Experience with Medicare/Medicaid regulations About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities.
We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids Department Name Priority Next - PH Managed Benefits Employment Type Part time Shift Day Weekly Scheduled Hours 20 Hours of Work 8 a.m. to 4:30 p.m.
Days Worked Monday to Friday Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community.
We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization.
As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.