He/she processes enrollment data within a timeframe and at a performance level that ensures members timely access to benefits and accurate processing of claims. He/she will compile the eligibility ...
He/she processes enrollment data within a timeframe and at a performance level that ensures members timely access to benefits and accurate processing of claims. He/she will compile the eligibility ...
The Enrollment Representative will create and maintain membership records and assists internal departments with eligibility inquiries and pharmacy eligibility. ESSENTIAL JOB FUNCTIONS: * Verifies ...
The Enrollment Representative will create and maintain membership records and assists internal departments with eligibility inquiries and pharmacy eligibility. ESSENTIAL JOB FUNCTIONS: * Verifies ...
Enrollment Representative - Bilingual 1
Pueblo, CO · On-site
$18.19 - $21.40/hr
Enrollment Representative Starting Pay Range: $18.19 - $21.40 an hour Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more ...
Enrollment Representative - Bilingual 1
Pueblo, CO · On-site
$18.19 - $21.40/hr
Enrollment Representative Starting Pay Range: $18.19 - $21.40 an hour Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more ...
The Enrollment Representative will create and maintain membership records and assists internal departments with eligibility inquiries and pharmacy eligibility. ESSENTIAL JOB FUNCTIONS: * Verifies ...
The Enrollment Representative will create and maintain membership records and assists internal departments with eligibility inquiries and pharmacy eligibility. ESSENTIAL JOB FUNCTIONS: * Verifies ...
The Health Plan Enrollment Representative will prioritize and coordinate daily tasks and projects. The Enrollment staff ensures that all data entry is accurate, including demographic and financial ...
The Health Plan Enrollment Representative will prioritize and coordinate daily tasks and projects. The Enrollment staff ensures that all data entry is accurate, including demographic and financial ...
The Health Plan Enrollment Representative will prioritize and coordinate daily tasks and projects. The Enrollment staff ensures that all data entry is accurate, including demographic and financial ...
The Health Plan Enrollment Representative will prioritize and coordinate daily tasks and projects. The Enrollment staff ensures that all data entry is accurate, including demographic and financial ...
He/she processes enrollment data within a timeframe and at a performance level that ensures members timely access to benefits and accurate processing of claims. He/she will compile the eligibility ...
He/she processes enrollment data within a timeframe and at a performance level that ensures members timely access to benefits and accurate processing of claims. He/she will compile the eligibility ...
Address market place enrollment inquiries from the CMS (inquiry examples: premiums, changing ... their representatives, providers and other appropriate parties within expected standards.
Address market place enrollment inquiries from the CMS (inquiry examples: premiums, changing ... their representatives, providers and other appropriate parties within expected standards.
Enrollment Representative - Bilingual 1
$18.19 - $21.40/hr
Enrollment Representative Starting Pay Range: $18.19 - $21.40 an hour Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more ...
Enrollment Representative - Bilingual 1
$18.19 - $21.40/hr
Enrollment Representative Starting Pay Range: $18.19 - $21.40 an hour Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more ...
Manage end-to-end provider enrollment workflows, including roster submissions, individual enrollments, and revalidations across multiple payers * Maintain and update provider data across systems ...
Manage end-to-end provider enrollment workflows, including roster submissions, individual enrollments, and revalidations across multiple payers * Maintain and update provider data across systems ...
Manage end-to-end provider enrollment workflows, including roster submissions, individual enrollments, and revalidations across multiple payers * Maintain and update provider data across systems ...
Manage end-to-end provider enrollment workflows, including roster submissions, individual enrollments, and revalidations across multiple payers * Maintain and update provider data across systems ...
Facilitated Enrollment Representative
New York, NY · On-site
$50K - $75K/yr
Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO's). All activity entered into ...
Facilitated Enrollment Representative
New York, NY · On-site
$50K - $75K/yr
Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO's). All activity entered into ...
Utilize automated tools to perform individual enrollment duties. Refer all existing members up for recertification to Retention Specialist when applicable. Perform recertification activities when ...
Utilize automated tools to perform individual enrollment duties. Refer all existing members up for recertification to Retention Specialist when applicable. Perform recertification activities when ...
Member Enrollment Representative
Boca Raton, FL · On-site
$50/hr
The Member Enrollment Representative is responsible for leading patient education, facilitating enrollment, and executing the launch plan for transitioning MDVIP physicians. Embedded in the practice ...
Quick apply
Member Enrollment Representative
Boca Raton, FL · On-site
$50/hr
The Member Enrollment Representative is responsible for leading patient education, facilitating enrollment, and executing the launch plan for transitioning MDVIP physicians. Embedded in the practice ...
Customer Enrollment Representative
Addison, IL · On-site
$50K - $75K/yr
As they expand across the Chicagoland Area, they're looking for a motivated and energetic Customer Enrollment Representative to join their growing team. This is an entry-level position offering hands ...
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Customer Enrollment Representative
Addison, IL · On-site
$50K - $75K/yr
As they expand across the Chicagoland Area, they're looking for a motivated and energetic Customer Enrollment Representative to join their growing team. This is an entry-level position offering hands ...
Enrollment Representative ACA Marketplace
Pasadena, CA · On-site
$22 - $24/hr
Enrollment Representative - Marketplace FLSA STATUS: Non-Exempt DEPARTMENT: Enrollment REPORTS TO: Sr. Manager, Enrollment & Member Operations JOB SUMMARY: Responsible for reviewing applications ...
Quick apply
Enrollment Representative ACA Marketplace
Pasadena, CA · On-site
$22 - $24/hr
Enrollment Representative - Marketplace FLSA STATUS: Non-Exempt DEPARTMENT: Enrollment REPORTS TO: Sr. Manager, Enrollment & Member Operations JOB SUMMARY: Responsible for reviewing applications ...
Enrollment Representative - Intake
Elk Grove Village, IL · On-site
$21/hr
Enter patient enrollment information into pharmacy operation systems. * Submit eligibility requests in available portals to find insurance coverage information for new enrollments. * Troubleshoot ...
Quick apply
Enrollment Representative - Intake
Elk Grove Village, IL · On-site
$21/hr
Enter patient enrollment information into pharmacy operation systems. * Submit eligibility requests in available portals to find insurance coverage information for new enrollments. * Troubleshoot ...
Bilingual Enrollment Rep
$12 - $14/hr
Membership Enrollment * Providing customer service to members with Questions with services Qualifications * 2 years of experience call center customer service in healthcare * Bilingual Eng/Sp ...
Bilingual Enrollment Rep
$12 - $14/hr
Membership Enrollment * Providing customer service to members with Questions with services Qualifications * 2 years of experience call center customer service in healthcare * Bilingual Eng/Sp ...
Enrollment Representative - Intake
Elk Grove Village, IL · On-site
$21/hr
Enter patient enrollment information into pharmacy operation systems. * Submit eligibility requests in available portals to find insurance coverage information for new enrollments. * Troubleshoot ...
Enrollment Representative - Intake
Elk Grove Village, IL · On-site
$21/hr
Enter patient enrollment information into pharmacy operation systems. * Submit eligibility requests in available portals to find insurance coverage information for new enrollments. * Troubleshoot ...
Bilingual Enrollment Rep
$12 - $14/hr
Membership enrollment Qualifications 2 years of experience call center customer service in healthcare Bilingual Eng/Sp required!!! Experience enrolling members preferred Must be able to read off of a ...
Bilingual Enrollment Rep
$12 - $14/hr
Membership enrollment Qualifications 2 years of experience call center customer service in healthcare Bilingual Eng/Sp required!!! Experience enrolling members preferred Must be able to read off of a ...
Enrollment Representative information
See salary details
$12.26 - $14.14
3% of jobs
$14.14 - $16.02
4% of jobs
$16.02 - $17.90
16% of jobs
$18.13 is the 25th percentile. Wages below this are outliers.
$17.90 - $19.78
15% of jobs
The median wage is $21.22 / hr.
$19.78 - $21.66
16% of jobs
$21.66 - $23.54
14% of jobs
$24.90 is the 75th percentile. Wages above this are outliers.
$23.54 - $25.42
11% of jobs
$25.42 - $27.29
9% of jobs
$27.29 - $29.17
4% of jobs
$29.17 - $31.05
4% of jobs
$31.05 - $32.93
4% of jobs
$12
$22
$32
How much do enrollment representative jobs pay per hour?
What are the key skills and qualifications needed to thrive as an Enrollment Representative, and why are they important?
What is an enrollment representative?
What Does an Enrollment Representative Do?
An enrollment representative acts as the primary contact between providers and payers for questions and issues regarding enrollment. This job is typically for enrolling students in school or enrolling members in an insurance program. Your responsibilities in this career are to explain programs and requirements accurately, follow up with clients to ensure you are meeting their needs, and collect all documentation needed for enrollment. You also handle administrative duties that include screening enrollment applications, filing applications, changing forms, maintaining the departmental standard for accuracy on data entry, addressing enrollment issues, and monitoring the enrollment process for a timely turnaround.
What are Enrollment Representatives?
What's the easiest job to get hired at if you have social anxiety?
What are some common challenges faced by Enrollment Representatives, and how can they be addressed?
What jobs pay 4000 a week without a degree?
Why is Gen Z struggling to get jobs?
What is the difference between Enrollment Representative vs Customer Service Representative?
| Aspect | Enrollment Representative | Customer Service Representative |
|---|---|---|
| Required Credentials | High school diploma; some roles may prefer post-secondary education | High school diploma or equivalent |
| Work Environment | Healthcare, education, or insurance settings; primarily office-based | Call centers, retail, or service industries; office or remote |
| Employer & Industry Usage | Educational institutions, healthcare providers, insurance companies | Retail stores, telecom companies, service providers |
| Common Search & Comparison | Focuses on guiding prospective students or clients through enrollment processes | Handles customer inquiries, resolves issues, and provides product info |
While both roles involve communication and customer interaction, Enrollment Representatives primarily assist individuals through the enrollment process in educational or healthcare settings, whereas Customer Service Representatives handle ongoing customer support across various industries. The roles share similar skills but differ in their specific functions and work environments.
Full-time
Medical
Re-posted 7 days ago
Job description
Under direct supervision, is responsible for a variety of specific functions associated with enrollment and reconciliation transactions to facilitate accurate enrollment data. He/she processes enrollment data within a timeframe and at a performance level that ensures members timely access to benefits and accurate processing of claims. He/she will compile the eligibility discrepancies in a timely manner to ensure that members are able to obtain health services appropriately. He/she also works collaboratively with various internal departments to resolve complex issues related to member eligibility and provider discrepancies to meet the Mission, Vision and Values of Neighborhood.
Duties and Responsibilities
Responsibilities may include, but are not limited to, the following:
· Maintain membership eligibility information in system
· Generate membership correspondence
· Produce enrollment activity reports for internal and external customers
· Interact with internal and external contacts regarding membership and eligibility issues
· Reporting and billing of births
· Manual data entry of newborns, exception reports and daily spreadsheets
· Provide enrollment information to internal customers about enrollment issues
· Act as secondary contact in communicating with EOHHS, HP, DCYF and/or HSRI to resolve enrollment issues
· Communicate to the Member Services department the status of enrollment processes
· Support and work collaboratively with the next level analysts in handling some tasks related to Coordination of Benefits, including research, outreach and reporting
· Provide back up to the next level analysts in a limited scope
· Maintaining absolute file integrity with regards to content, location and confidentiality
· Participate in training and development
· Identify opportunities for process improvements and workflow efficiencies
· Other duties as assigned
Qualifications Required:
· High School Degree or equivalent
· Three (3) years’ HMO/insurance experience in member service/enrollment
· Communication skills, including excellent writing abilities
· Intermediate skills in Microsoft Office (Word, Excel, Outlook)
· Organizational skills and reporting experience
· Ability to work independently and as a team player
· Strong attention to detail and problem solving skills
· Ability to handle multiple responsibilities simultaneously
· Ability to work cross-functionally across different departments within the organization
   Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
About Neighborhood Health Plan of Rhode Island
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Smithfield, RI, US
Year founded
1993