Associate Enrollment or Eligibility Representative

About the Role

The Associate Enrollment & Eligibility Representative is responsible for accurate and timely processing and maintaining member enrollment, billing, and eligibility information. This role supports member access to healthcare services by ensuring enrollment transactions are completed in accordance with regulatory and business requirements.

Key Responsibilities

• Process new member enrollments and eligibility transactions
• Update and maintain member records in internal systems
• Verify member eligibility and enrollment status
• Process enrollment changes, corrections, and member data updates
• Respond to standard inquiries related to enrollment and eligibility
• Support inventory and workflow management activities
• Maintain required quality, accuracy, and turnaround-time standards
• Ensure compliance with CMS, regulatory, and business requirements
• Comply with all applicable Company policies, procedures, and business directives

Requirements & Tech Stack

• Graduate in any discipline
• CAT Score: 3.0
• Typing Speed: 30 WPM with 99% accuracy
• Basic computer skills
• Proven excellent verbal and written communication skills
• Proven ability to learn and navigate multiple applications and systems
• Demonstrated solid attention to detail and accuracy
• Demonstrated ability to work effectively in a team environment
• Flexible and willing to work from the office
• Flexible and willing to work night shifts

Preferred Qualifications

• MS Office knowledge
• Basic understanding of AI tools
• Demonstrated analytical and problem-solving skills
• Demonstrated time management and organizational skills
• Proven excellent written and verbal communication
• Proven ability to work effectively within a team