The Enrollment Coordinator 2 is responsible for processing electronic and paper enrollment transactions that support accurate eligibility, while performing in a lead and subject matter expert capacity. This position ensures that the department?s business rules, contracts, industry regulations, Medicare/Medicaid guidelines and company policies and procedures are followed.
ESSENTIAL FUNCTIONS OF THE ROLE
Assists the Enrollment Supervisor by coordinating all aspects of enrollment transactions and activities to ensure accurate and timely processing of data. Prioritizes the teams daily tasks and work items in queue, and manages turnaround times. Ensures Enrollment Coordinators meet or exceed quality and productivity standards. Provides back-up support to enrollment processing as needed to maintain SLAs. Functions as a subject matter expert in support of other Enrollment team members and other departments/facilities within the network.
Trains new staff in all areas as needed, and provides coaching and mentoring to staff on opportunities for improvement.
Prepares and distributes daily, weekly and monthly production and audit reports. Prepares ad hoc reports as requested.
Reviews daily audit trail reports, new and renewal group entries, enrollment processing and reconciliations, and reports audit findings to management. Provides continuous updates and information to the leadership team regarding daily inventory, ongoing errors, enrollment related issues/trends, and other controllable quality assurance related activities affecting productivity.
Identifies opportunities for process improvement and provides recommendations/solutions to leadership.
Performs business user acceptance testing for newly implemented software and/or processes, documents and communicates results to the leadership team.
Complies with all guidelines set forth by regulatory agencies, where applicable, and defined in the health plan and department policies.
KEY SUCCESS FACTORS
Demonstrated ability to understand and navigate multiple health plan systems.
Strong focus around accurate and timely customer support to ensure client satisfaction and retention.
Ability to prioritize daily tasks and queued work items, manage turnaround times, and manage items that need escalation.
Strong organizational skills with the ability to handle multiple tasks and/or projects at one time.
Interpersonal skills with the ability to work in a fast-paced environment.
Previous experience producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization.
Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas.
Customer service skills with the ability to interact professionally and effectively with providers, third party payers, physicians, and staff from all departments within and outside the Company.
Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!