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Associate Enrollment Eligibility Representative Jobs

usahs

Associate Enrollment Advisor

Dallas, TX · On-site

GENERAL SUMMARY Associate Enrollment Advisors advise, educate, consult and support qualified ... Must be able to represent the University in a professional manner, recruit and work with a diverse ...

usahs

Associate Enrollment Advisor

Saint Augustine, FL · On-site

GENERAL SUMMARY Associate Enrollment Advisors advise, educate, consult and support qualified ... Must be able to represent the University in a professional manner, recruit and work with a diverse ...

Cigna

Eligibility Representative - Accredo - Remote

  • Medical

As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical ...

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How much do associate enrollment eligibility representative jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for associate enrollment eligibility representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What does an associate enrollment eligibility representative do?

An Associate Enrollment Eligibility Representative is responsible for reviewing and processing enrollment applications for health insurance or other benefit programs. They verify applicants' information, ensure eligibility requirements are met, and resolve any discrepancies or issues that arise during the enrollment process. These professionals often communicate with applicants, employers, and insurance providers to obtain necessary documentation and provide updates on application status. Their work ensures that individuals receive the correct benefits coverage in a timely manner.

What skills and qualifications are needed to be an associate enrollment eligibility representative?

To thrive as an Associate Enrollment Eligibility Representative, you need strong attention to detail, knowledge of healthcare or insurance processes, and typically a high school diploma or equivalent. Familiarity with enrollment management software, claims processing systems, and Microsoft Office Suite is commonly required. Excellent communication, problem-solving, and customer service skills help you effectively assist clients and resolve eligibility issues. These skills ensure accurate enrollment processing, compliance with regulations, and a positive experience for clients and members.

What are common challenges faced by associate enrollment eligibility representatives, and how can they be addressed?

Associate Enrollment Eligibility Representatives often encounter challenges such as managing high volumes of enrollment applications, ensuring data accuracy, and staying current with frequently changing health plan regulations. To address these challenges, it's essential to develop strong organizational skills, be detail-oriented, and proactively seek clarification when guidelines change. Many teams offer ongoing training and encourage collaboration, so taking advantage of available resources and open communication with colleagues can help overcome these hurdles effectively.

What is the difference between Associate Enrollment Eligibility Representative vs Customer Service Representative?

AspectAssociate Enrollment Eligibility RepresentativeCustomer Service Representative
CredentialsHigh school diploma; some roles may require certifications in healthcare or insuranceHigh school diploma or equivalent; customer service training often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service centers
Employer & IndustryHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Job FocusVerifying eligibility, processing enrollments, assisting with benefitsHandling customer inquiries, resolving issues, providing product info

The Associate Enrollment Eligibility Representative primarily focuses on verifying insurance eligibility and processing enrollments within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. While both roles require strong communication skills, the Associate Enrollment Eligibility Representative specializes in benefits and eligibility, often requiring healthcare-related knowledge and certifications.

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The top searched job categories for Associate Enrollment Eligibility Representative jobs are:

Associate Enrollment Eligibility Representative jobs near you

Medicaid Enrollment/Eligibility Specialist

Vir Healthway

Indianapolis, IN • On-site

Other

Re-posted 26 days ago

Job description

Title: Medicaid Enrollment Specialist
Location: Indianapolis, IN 46204
In Person Interview
Duration: 6 Months
Onsite
Job Duties :
  • Reviewing Medicaid Enrollment Reports daily and processing correct Medicaid categories for wards in all 92 counties. The individual must be able to identify the correct category of Medicaid for DCS wards and take the appropriate action if the child is not in the correct category.
  • Completing enrollment information in IEDSS, the DFR Case Management system for children in placement and MaGIK, the DCS Child Welfare Case Management System.
  • Notifying DFR of change in placements.
  • Requests Medicaid cards for wards.
  • Ensure all children worked on a report are coded as wards, MEU is listed as the Authorized Representative, the children are on the correct category of Medicaid and are covered for the appropriate timeframe.
Job Requirements:
  • High School Diploma
  • Experience with working with Medicaid in some capacity.
  • Must be able to adapt well to change

o Knowledge of Federal IV-E Foster Care, Adoption and Medicaid programs, policies, and procedures preferred.
o Working knowledge of Microsoft Word, Outlook, PowerPoint and Excel.
o Working knowledge of MaGIK, KidTraks and IEDSS.
o Ability to manage several tasks at one time, prioritize according to guidelines provided by supervisor, and complete tasks within established timelines.
o Ability to maintain confidentiality.

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