Talent.com
Enrollment Specialist I

Enrollment Specialist I

Network HealthBrookfield, WI, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Description

Network Health's success is driven by our mission to enhance the life, health, and wellness of the people we serve. This commitment guides our decisions, including the talented individuals we bring onto our team.

We are currently seeking an Enrollment Specialist to support enrollment, disenrollment, fulfillment, reconciliation, and related activities across all Network Health products. This role involves collaborating with internal and external stakeholders to ensure timely transaction processing while maintaining compliance with state and federal regulations.

Key responsibilities include :

  • Managing enrollment and disenrollment processes efficiently.
  • Ensuring compliance with all regulatory requirements.
  • Communicating with group contacts, members, agents, brokerage firms, and internal sales staff through written and verbal correspondence to provide exceptional customer service.

Location : Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.

Hours : 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday

Check out our 2024 Annual Report video to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities :

  • Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health
  • Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
  • Process enrollment applications, changes and terminations for all products received.
  • Responsible for handling incoming and outgoing telephone calls regarding group and member inquiries as well as inquiries from Sales, Customer Service, Agent Support, Compliance, Social Services, Care Management, Finance, and other groups as needed.
  • Assist in managing an organized a compliant member filing system. Responsible for maintaining and controlling access to member electronic files and assuring that they are kept in a complete and organized manner. Complete by-member submission for electronic filing on a daily basis.
  • Create and maintain accurate and complete desk procedures for all tasks. Assures that procedures, documentation and communication are such that risk of legal action is minimized.
  • Drafts written correspondence or requests appropriate system form letters.
  • Review on a regular basis federal regulations, state mandates, legislative changes, and legal requirements for enrollment processing. Assure that policies and procedures, documentation, and communications are such that risk of legal action is minimized.
  • Other duties as assigned.
  • Job Requirements :

    High School Diploma required; Associate's degree or equivalent experience preferred.

    Strong oral and written communication skills, including active listening, mindful questioning, and professional grammar / proofreading.

    Ability to organize work and manage time effectively to complete tasks within deadlines.

    Adaptability to new circumstances, information, and challenges in a fast-paced environment.

    Demonstrated ability to work independently as well as collaboratively in a team setting.

    Service-oriented mindset with strong interpersonal skills to coordinate with team members and external partners.

    Proven ability to perform under pressure and manage time-sensitive situations.

    Proficiency in MS Word, Excel, and Outlook.

    High accuracy in data entry and document review with strong attention to detail.

    Ability to handle large volumes of data efficiently.

    Knowledge of health insurance operations and plan designs (preferred).

    Network Health is an Equal Opportunity Employer

    Equal Opportunity Employer

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    serp_jobs.job_alerts.create_a_job

    Enrollment Specialist • Brookfield, WI, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Payroll Specialist

    Payroll Specialist

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for a Payroll Specialist II to provide full end-to-end payroll processing support for managed payroll customers. Key Responsibilities Act as named Specialist for Managed Payro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Payroll and Benefits Specialist

    Payroll and Benefits Specialist

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.part_time
    A company is looking for a Payroll and Benefits Specialist (Part-time).Key Responsibilities Process full cycle semi-monthly, multi-state U. Conduct audits to maintain data integrity and manage pay...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Payroll Specialist

    Payroll Specialist

    Construction Resources ManagementWaukesha, WI, United States
    serp_jobs.job_card.full_time
    The Payroll Specialist is crucial for ensuring accurate and timely processing of the company's payroll.This role involves managing various aspects of the weekly payroll process, from timecard manag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Payroll Specialist

    Payroll Specialist

    Walbec GroupWaukesha, WI, US
    serp_jobs.job_card.full_time
    The Payroll Specialist is crucial for ensuring accurate and timely processing of the company's payroll.This role involves managing various aspects of the weekly payroll process, from timecard manag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Payroll Specialist I

    Payroll Specialist I

    Marcus CorporationMilwaukee, WI, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are seeking a detail-oriented.In this role, you will process and reconcile divisional payrolls, support payroll operations across the organization, and serve as a resource to managers and field ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Billing & Credentialing Specialist (Work Location : Dousman, WI)

    Billing & Credentialing Specialist (Work Location : Dousman, WI)

    Lad Lake IncDousman, WI, United States
    serp_jobs.job_card.full_time
    Credentialing Experience is a must!.Lad Lake is a COA-accredited, nonprofit, independent organization serving youth and families across Wisconsin. With over 1,200 individuals benefiting from our tra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Payroll Integration Specialist

    Payroll Integration Specialist

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for a Payroll Connection Specialist to manage client payroll integrations and ensure accurate data flow. Key Responsibilities Serve as the main point of contact for clients, f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Enrollment Advisor

    Enrollment Advisor

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for an Enrollment Advisor to facilitate prospective students through the application process for their chosen university. Key Responsibilities Communicate with prospective stu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    401(k) Payroll Specialist

    401(k) Payroll Specialist

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for a 401k Payroll Contribution Specialist.Key Responsibilities Process, reconcile, and trade payroll files while managing related suspense accounts Resolve payroll processi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Enrollment Manager

    Enrollment Manager

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for an Enrollment Manager - Remote.Key Responsibilities Supervise team members to ensure timely processing of enrollments and adherence to quality standards Analyze eligibil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Enrollment Agent I

    Enrollment Agent I

    IDEMIAMilwaukee, WI, US
    serp_jobs.job_card.full_time
    IDEMIA is the global leader in identity and security.Our mission is to create a safe and simple future where identity verification is indisputable, and only you can assert your identity.We are a di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Provider Enrollment Representative

    Senior Provider Enrollment Representative

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Provider Enrollment Representative.Key Responsibilities Process provider enrollments and maintain tracking in the database system Conduct audits to improve proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    AR Specialist II

    AR Specialist II

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for an AR Specialist II, primarily remote.Key Responsibilities Contact insurance companies to secure outstanding payments and resolve complex claim rejections Monitor change...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    100% Work from Home Insurance Enrollment Specialist

    100% Work from Home Insurance Enrollment Specialist

    Global EliteMilwaukee, WI, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Work from Home Insurance Enrollment Specialist.Due to the rapid expansion of our company, we are looking to hire new associates to our customer service team. Our company works with 45,000 union work...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Team Manager

    Team Manager

    Panera BreadMequon, WI, United States
    serp_jobs.job_card.full_time
    At Panera, our leaders are celebrated for bringing out the best in their teams.Enjoy great perks, a welcoming culture, and the opportunity to make a real impact—every day.Get ready to rise and come...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Credentialing and Follow-Up Specialist

    Credentialing and Follow-Up Specialist

    Outreach Community Health CentersMilwaukee, WI, United States
    serp_jobs.job_card.full_time
    The Credentialing and Follow Up Specialist roles combines three key areas : provider credentialing, medical coding, and insurance account receivable follow-up. The Credentialing and Follow Up Special...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Billing and Credentialing Specialist (Work Location : Dousman, WI)

    Billing and Credentialing Specialist (Work Location : Dousman, WI)

    Lad Lake IncDousman, WI, United States
    serp_jobs.job_card.full_time
    Credentialing Experience is a must!.Lad Lake is a COA-accredited, nonprofit, independent organization serving youth and families across Wisconsin. With over 1,200 individuals benefiting from our tra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Provider Enrollment Team Lead

    Provider Enrollment Team Lead

    VirtualVocationsMilwaukee, Wisconsin, United States
    serp_jobs.job_card.full_time
    A company is looking for a Team Lead, Provider Enrollment.Key Responsibilities Oversee issue resolution for the provider education process regarding application completion and submission Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30