Enrollment Processor (Troy, MI)

Summary – The Enrollment Processor is responsible for reviewing and processing OnBase documents for Troy Eligibility client. Provides OnBase support to the department coordinators, supervisors, and manager to assist with questions, when needed.

Essential Duties And Responsibilities Include But Not Limited To

• Review and process incoming eligibility documents in OnBase for multiple clients, including but not limited to the following
• New Member forms
• Vital information forms
• Medicare information forms
• Other insurance information forms
• PHI
• QMSCO’s
• Month end processing
• Enrollment escalation requests
• Vendor file approvals
• Vendor discrepancy reports
• Understand the plan rules for eligibility as outlined in the SPD
• Evaluate legal documents such as divorce decrees, marriage certificates, birth certificates, etc. to determine dependent eligibility according to Plan rules
• Request missing information from members
• Comment system with appropriate updates based on documentation received
• Meet daily/weekly quota requirements set by management team
• Be knowledgeable of policies, procedures, and coverage of various funds
• Assist with phone call handling during lunch time hours, if needed
• Regular and predictable attendance is an essential function of this job
  

Qualifications - Excellent Multi-tasking Skills Are a Must.

Education and/or Experience – High school diploma or GED and at least one year experience with eligibility experience.

Language Skills – Must speak clearly and professionally. Ability to understand directions and follow them to completion of requested task.

Mathematical Skills – General math skills.

Reasoning Ability - Ability to apply common sense to carry out detailed written or verbal instructions

Work Environment - Fast paced department. Must be able to work independently as well as in a team, must be able to multi-task and must be detailed oriented.

Work Schedule - Full time. Monday – Friday, 7:30am - 4:30pm. Requires in-office days but also offers at-home flexibility after 90 days.

Competitive Benefits And Compensation Package

• 12 paid holidays
• Paid Time Off (PTO)
• Pro-rated during first year of employment
• 15 days of PTO provided in the next calendar year!
• 3 days paid bereavement
• Up to 20 days paid jury leave
• Medical, dental, and vision insurance, with option for dependent coverage
• Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
• 401k with employer match
• Tuition reimbursement program
• Career development opportunities
• Referral bonus for all successful full-time referrals
• Annual opportunities for increases
  

Pay

The hourly rate is $21.00. Actual rate dependent on location, skills, education, experience and other business factors.

Our Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.

Our Culture Focuses On Three Core Values

• Collaboration: working together across 31 locations to achieve the best for the company and our clients
• Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
• Integrity: doing what we say we will do. Upholding strong ethical and moral principles
  
  

ADA & EEO

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.