Job Description:Enrollment Specialist IIAssociate II – BPMWho we are:UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.You Are:UST HealthProof is looking for an Enrollment Specialist II, reporting to the Enrollment and Billing Manager. The Enrollment Specialist II is responsible for ensuring accurate enrollment, including billing and maintenance of member data by researching and resolving enrollment and billing discrepancies.The Opportunity:· Be responsible for preparing, processing, and maintaining enrollment and disenrollment requests.· Be responsible for reconciling and correcting enrollment-related issues; including resolving enrollment system rejections based on regulatory and client specified guidelines.· Perform various billing, accounts receivable, and reconciliation activities.· Collaborate with other team members on special projects; special projects can include process documentation development, training, quality reviews for the client(s), or any other project as determined by management.· Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure case accuracy and quality.· Be accountable to attend and successfully complete the trainings scheduled by the client and employer.This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.What you need:· 3-5 years of professional experience in processing Group/Commercial enrollment transactions and billing processes· A thorough understanding of Enrollment and Billing guidelines· An ability to follow desk level procedures and apply critical thinking to transaction processing.· A Medicare Advantage Enrollment-related background is a plus.· A high school degree is required.· The ability to adapt quickly to a challenging environment.· A self-starter and quick learner· An ability to collaborateCompensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by applicable law, UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.Role Location: RemoteCompensation Range: $35,360-$39,520Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits.What we believe:We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.Humility:We will listen, learn, be empathetic and help selflessly in our interactions with everyone.Humanity:Through business, we will better the lives of those less fortunate than ourselves.Integrity:We honor our commitments and act with responsibility in all our relationships.Equal Employment Opportunity StatementUST HealthProof is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.#USTHealthproof#CB#LI-RJ1Skills:Healthcare,Enrollments,Open EnrollmentAbout Company:UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.
