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Member Enrollment Representative Jobs (NOW HIRING)

TEKsystems

Annual Enrollment Rep. - Onsite

Murray, UT · On-site

$21/hr

Annual Enrollment Representative - Open to experience! Pay: $21.00/hr Location: Salt Lake City, UT ... member updates * Accurately document interactions and update internal systems * Stay informed on ...

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How much do member enrollment representative jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for member enrollment 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 a member enrollment representative do?

A Member Enrollment Representative is responsible for assisting individuals with the process of enrolling in membership programs, typically for health plans, insurance, or other organizational memberships. They guide prospective members through application forms, eligibility requirements, and benefits information. These representatives also address questions, troubleshoot enrollment issues, and ensure accurate data entry. Their role is crucial for providing a positive first impression and ensuring smooth onboarding for new members.

What skills and qualifications are needed to thrive as a member enrollment representative?

To thrive as a Member Enrollment Representative, you need strong customer service abilities, attention to detail, and a high school diploma or equivalent. Familiarity with enrollment platforms, CRM systems, and basic office software is typically required, and some positions may prefer knowledge of healthcare or insurance regulations. Outstanding communication, problem-solving skills, and patience help you build rapport with members and address their enrollment needs effectively. These skills and qualities are essential to ensure accurate enrollment, member satisfaction, and compliance with organizational and regulatory standards.

What are common challenges faced by member enrollment representatives and how can they be addressed?

Member Enrollment Representatives often face challenges such as managing high call volumes during open enrollment periods, addressing complex eligibility questions, and ensuring all documentation is accurately completed. To overcome these, it's important to develop strong organizational and communication skills, stay up-to-date on plan details and regulatory changes, and utilize available technology for tracking and follow-up. Working closely with team members and supervisors can also help resolve unique cases efficiently, ensuring a smooth experience for new members.

What is the difference between Member Enrollment Representative vs Customer Service Representative?

AspectMember Enrollment RepresentativeCustomer Service Representative
Required CredentialsHigh school diploma; some roles may prefer experience in insurance or healthcareHigh school diploma; customer service experience often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service desks
Employer & Industry UsageHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Common Search & Comparison IntentUnderstanding enrollment processes, insurance benefitsHandling customer inquiries, issue resolution

While both roles involve interacting with customers, the Member Enrollment Representative primarily focuses on assisting members with enrollment, benefits, and insurance paperwork within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. The roles share similar credentials but differ in industry focus and daily responsibilities.

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What are popular job titles related to Member Enrollment Representative jobs?

For Member Enrollment Representative jobs, the most frequently searched job titles are:

Member Enrollment Representative jobs near you
Infographic showing various Member Enrollment Representative job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 72% Full Time, 25% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Medicaid Enrollment Representative

Lima, OH • On-site

Health Partners of Western Ohio
Health Care and Social Assistance • 51 - 200 employees
Learn more about Health Partners of Western Ohioexternal

$21.60/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Medicaid Enrollment Representative
Admin Building
Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm)
About Us
Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We’re led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care.
SUMMARY:
Responsible for providing education and assistance to health center patients and service area residents with the enrollment into affordable health insurance options including Health Insurance Exchange, Medicaid, Children’s Health Insurance Program (CHIP), and Medicare. Screens and assists uninsured and underinsured patients in obtaining public benefits charity or other financial sponsorship from outside agencies and charitable programs when financial need is indicated. Completes CR audits monthly.

ESSENTIAL FUNCTIONS AND BASIC DUTIES:
  • Conducts “in reach” activities with currently uninsured health center patients and “outreach” to non-health center persons within the health center’s service area
  • Complies with and successfully completes all required Certified Application Counselor (CAC) training.
  • Demonstrates and maintains expertise in eligibility and enrollment rules and procedures; the Health Insurance Exchange options in the Marketplace and insurance affordability programs, including Medicaid and Medicare.
  • Assists patients and/or consumers in obtaining access to a single application process that will enable them to determine if they, or a family member, are eligible for enrollment under Medicaid or CHIP, or if they are eligible for financial assistance (waiver) for qualified health plan offered through the Marketplace.
  • Provides information and assistance in a fair, accurate and impartial manner that is culturally and linguistically appropriate to diverse communities and accessible to individuals with disabilities.
  • Demonstrates an understanding of the needs of the undeserved and vulnerable populations and abides by privacy and security standards.
  • Respects and maintains patient confidentiality according to health center policy and HIPAA regulations.
  • Assists with training staff on sliding fee scale.
  • Completes audits of CR’s monthly
  • Provides referrals to any applicable office of health insurance consumer assistance or ombudsman established under Section 2793 of the Public Health Services Act to address consumer grievances, complaints, or questions about their health plan, coverage or determination.
  • Develops and maintains a tracking and follow-up system for Medicaid and other social services applications to ensure that all aspects of the process, from application through post-enrollment, have been completed and that the patient is able to receive appropriate services.
  • Attends and participates in staff meetings.
  • Documents in designated computer system all interaction with patients to ensure proper follow up once patient has been released.
  • Promotes and maintains positive behaviors and professional atmosphere.
  • Maintains patient financial records in EHR.
  • Performs other related duties as they are assigned.
QUALIFICATIONS
EDUCATION/CERTIFICATION: High School Diploma or equivalent is required, with Associates in Health or Human Services or related field preferred.
REQUIRED KNOWLEDGE: Successful completion of in-house training.
SKILLS/ABILITIES:
  • Communicating effectively in both written and verbal form.
  • Understanding of the Medicaid enrollment process and low-income services.
  • Knowledge of state and federally funded public benefits programs preferred.
  • Knowledge and demonstration of eligibility and enrollment rules; knowledge of qualified health plan options as well as Medicare, Medicaid, Commercial and CHIP.
  • Must be able to work independently.
  • Maintain a valid driver’s license; ability to travel between health center sites and throughout the health center’s service area.
WHAT WE OFFER:
  • Starting pay $21.60 and goes up based on experience in Federally Qualified Health Center billing
  • Paid Time Off (PTO) – Accrued per pay
  • Insurance (Medical, Dental, Vision, Life and Disability)
  • Paid Holidays – 7 paid holidays
  • 403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO)
  • Annual Reviews and Increases
  • Employee Assistance Program
  • Referral Bonus – Earn more by expanding our team
  • Training Opportunities
  • Eligible to apply for the Emerging Leaders Program after 1 year of service

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