Enrollment-Billing Coordinator

Job Description

Job Description

POSITION SUMMARY : Responsible, on a daily basis, for maintaining accurate Dental eligibility records for subscribers and dependents as well as the production and mailing of monthly account invoices.

Essential Functions :

• Keys in all enrollment transactions based on corporate underwriting guidelines, and addresses of subscribers as received on enrollment forms
• Maintains all dependent hold codes relating to handicap, student, and COB status
• Makes inquiries to groups regarding eligibility concerns or questions
• Produces subscriber ID Card / ID card summaries when necessary
• Produces and mails correspondence to Accounts pertaining to Enrollment information
• Performs accurate posting of all Electronic Eligibility :
• Preliminary reports are evaluated prior to loading into Operating systems. Once approved files are then posted and error reports are handled manually. If required, reports are then processed and distributed to groups.
• Creates a daily extract file for HSRI that is placed on a network folder
• Ensures that the monthly reconciliation is performed for Exchange business within two days of receipt
• Process Exchange write-offs
• Perform HDS Person Merges
• Assists in the establishment of accounts utilizing the Web Enrollment System
• Serves as a technical resource to company and accounts regarding enrollment / billing issues
• Participates in the implementation of our annual and monthly student recertification process
• Performs all procedures relating to the monthly Dental Account bill run. Produces and mails all cost-plus billing, ensuring accuracy and timeliness
• Researches and resolves all dental enrollment and billing inquiries
• Ensures that returned mail is processed according to appropriate corporate policy
• Participates in special projects as required by management.
• Performs other duties as assigned

Requirements :

Work Environment / Physical Demands :