Associate Enrollment Coordinator

Company :

Job Description : 

GENERAL OVERVIEW:  

The Enrollment Coordinator is accountable for processing enrollment and eligibility information submitted by customers in unique electronic file formats through varied transmission processes for statewide, national, partner plan, agent plan Mountain State, and international program customers and other operational areas.  This position must perform in a customer driven environment which requires instant analysis and problem solving while balancing the delivery of customer requirements along with the company’s functional and technical capabilities and capacities.

ESSENTIAL RESPONSIBILITIES: 

1. Supports the technical and operational role of reviewing electronic enrollment, and authorizing the execution of mainframe jobs to successfully load enrollment to membership databases. 

2. Communicates effectively with various levels of the organization.

• Identify and articulate problems to appropriate areas throughout Highmark.
• Interface verbally and via written communication with external customers including Subsidiaries, Plan Partners, Clients and Vendors as well as with Membership, Sales, and EDI.

3. Participates in the analysis of electronic data processes, business processes and applicable interfaces to support electronic membership enrollment while taking into consideration impacts to the business environment.  Analyzes and evaluates test data and creating specifications that result in the client’s enrollment data processing efficiently; as well as; articulating and presenting the results to clients and vendors.

4. Other duties as assigned or requested.

QUALIFICATIONS:

Education, Licenses/Certifications, and Experience

Minimum

• High School Diploma/GED
• 0-1 years of experience

Preferred

• None

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees?     

No 

WORK ENVIRONMENT

Is Travel Required?

No 

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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