Enrollment Coordinator

PR - $15.17
Job Description: Job Description Summary
This position is responsible for the accurate processing of customer enrollment and billing transactions in accordance with company standards and underwriting policies. This position is also responsible for maintaining individual account receivable including, but not limited to, the reconciliation of adjustments to accounts, billing records, financial analysis investigation , calculations, and collection of delinquent accounts.

Job Description

• Process all customer enrollment applications, terminations, and changes for applicants/members via hardcopy, fax, email or interoffice in accordance with company standards and underwriting policies.
• Assist in identifying enrollment electronic transaction error trends and escalates for in-depth analysis.
• Retrieve and analyze enrollment reports and perform corrective actions.
• Prepares correspondence or responds orally to inquiries regarding billing or enrollment.
• Reconcile daily systemic eligibility discrepancies on various systems.
• Process and respond to inquiries generated by other divisions and/or departments.
• Ensures the accurate processing of computer transactions to adjust subscriber records facilitating refunds or other billing adjustments on subscriber accounts.
• Ensures the correction of proper payment allocations to individual accounts by preparing and processing each transaction.
• Prepares daily production report and prepares unit production reports for management.
• Reviews and analyzes refunds (manual or computer generated) for accuracy prior to submitting for management approval.
• Reviews work to assure timely and accurate completion of production.
• Reviews, analyzes and calculates adjustments for computer transactions on routine and non-routine cases requiring special control including calculation of off-system rates, if necessary.
• Maintains follow-up records of cases referred to other areas or departments.
• Performs other duties incidental to the performance of the basic assignment as required by management.