Eligibility and Enrollment Specialist

Job Details

Key Responsibilities

• Make outbound calls and handle inbound inquiries to enroll members in appropriate programs.
• Perform operational support activities to ensure work is completed accurately and efficiently.
• Maintain compliance with company policies and industry guidelines.
• Communicate effectively with providers, members, and internal teams to facilitate the enrollment process.
• Utilize basic PC skills to generate reports, prepare correspondence, and update procedural documentation.
• Meet departmental standards for accuracy, timeliness, and customer satisfaction.
• Maintain open communication with leadership, reporting any issues as soon as they arise.
• Ensure internet connectivity meets minimum download speed requirements (100 Mbps, pending confirmation with IT).
• Participate in virtual team meetings with camera on.
• Maintain flexibility for holiday availability with adjusted work hours as needed.

Qualifications

• Strong written and verbal communication skills.
• Excellent interpersonal skills with the ability to build rapport.
• Decision-making ability to assess eligibility and enroll members effectively.
• Detail-oriented approach to ensure accuracy in documentation and processes.

• Experience with claims processing and data entry.
• Background in customer service, operational support, or retail sales.

• High school diploma or equivalent with two (2) years of experience in a specialized customer service environment.
• Two (2) years of college coursework (at least 48 credit hours) plus one (1) year of specialized customer service experience.
• Bachelor’s degree from an accredited college or university.

• Must pass Customer Service Assessment Proficiency Test.
• Must be customer service-oriented with a focus on professionalism and efficiency.
• Open to fully remote candidates, including those outside Arkansas.