Sanford Health Enrollment Representative - Member Services in Sioux Falls, South Dakota

Job Title: Enrollment Representative | Member Services | Sioux Falls

City: Sioux Falls

State: South Dakota

Department : Member Services

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

The Enrollment Coordinator is responsible for the analysis of electronic enrollment processes for accuracy, completeness and data integrity. Relies on experiences to recognize enrollment and eligibility discrepancies and will act as the liaison between the organization, vendors and clients/members. Must be able to effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data. Demonstrates analytical ability in processing electronic enrollment files. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgment in determining best methods of solving problems. Maintains a positive relationship with internal staff, clients, members and vendors. Maintains confidentiality.

POSITION RESPONSIBILITIES

Identifies the basic eligibility and enrollment requirements. Monitors basic eligibility and enrollment requirements. Answers basic patient or provider questions and refers complex inquiries to appropriate specialists. Generates and interprets a wide range of statistical data and reports. Uses key tools, systems and processes to support business insurance operations. Distributes internal and external correspondence to appropriate recipients.

QUALIFICATIONS

High School Diploma or GED required. One year experience in health insurance or similar industry including enrollment and eligibility preferred. Experience with Medicare, COBRA, and ERISA highly desirable. Computer proficiency required.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing.

Every day, we show that commitment by delivering the highest quality of care to the communities we serve.

We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth.

We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.

We continuously seek new ways to achieve our vision of improving the human condition here in your community,

across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities.

We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application,

please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S.

employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .

City: Sioux Falls

State: South Dakota

Job Function: Health Plan

Job Schedule: Full Time

Shift: Days

Req Number: req27072