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0-5 years of experience
Communicate with prospective students via call campaigns, emails, and faxes regarding the Program.
- Develop compelling marketing communications that effectively conveyed the value message of the product or product line
- Revamped e-mail marketing strategy, resulting an increase in leads
- Establish organizational project management processes and procedures for student registration and marketing campaign
- Analyze project needs including project plans and delivery schedules, established project management strategies, and recommended the appropriate level of planning, scheduling, and control
- Conduct searches such as evaluating competitor websites to incorporate best practice and create marketing strategy to ensure optimal results
0-5 years of experience
- Performed quality control, defected documentation and communication, and worked flow routing of scanned incoming correspondence for the Medicare D (Med D) enrollment team
- Used strong knowledge of Med to correctly identify documents, reviewed and identified defects, and routed work to the appropriate business processes
- Used knowledge of Centers for Medicare & Medicaid Services (CMS) guidelines to make corrections and met turnaround times as needed
0-5 years of experience
- Maintain and manage the electronic enrollment of files from multiple clients from the initial testing phase through the final implementation.
- Troubleshoot and analyze client data to ensure employees have proper coverage.
- Working closely with external clients and vendors whose business practices range from commercial to the government healthcare marketplace, as well as work closely with the sales and membership teams within Highmark.
- Support management in the achievement of team goals and client performance guarantees.
- Assigned additional projects above normal enrollment coordinators skill level involving the implementation of government healthcare for an advances client system.
- Advanced in position from temporary contracted employee to a full-time hired employee.
0-5 years of experience
- Performed all receptionist duties in a professional and polite manner
- Updated patient information into computer
- Helped assist clients into enrolling to get free safe link phones
- Showed proof and verification of client enrollment
6-10 years of experience
- Independently coordinate and maintain all data within a provider’s file pertaining to payer enrollment with complete accuracy.
- Scan all applications, payer letters, and enrollment files into VISTAR system, and review/audit files for paperless filing.
- Distribute and follow up on all documentation requests approximately every 14 days from the initial request utilizing the Payer Enrollment excel spreadsheet function.
- Follow up with Providers and Senior Billing Managers via phone or email, to insure that any issues have been resolved with claims, payments, and other outstanding problems.
- Department Team Lead of 6 people when the Supervisor is absent or unavailable.
- Maintain six different specialties, in monitoring and updating over 600 providers file to ensure that their enrollment is up to date with all contracted, and out of state plans.
0-5 years of experience
Research, verify, and document provider credentialing information through various government agencies and license boards as part of provided enrollment regulations
- Contact provider either by phone or email to clarify or obtain missing documents from the provider application submission
- Communicate with providers or office staff and walk them through the application and update process and requirements
- Document communication notes and resolution outcomes
- Review the application and update submission in its entirety and confirm that all data is accurate and all revalidation documents are completed and uploaded, and also check that all verification documents are complete and uploaded
- Respond to inquiries on the status of application and update submissions for various providers and support the department’s administrative requirements including preparing educations documents and supporting other reporting needs
0-5 years of experience
- Maintained 2 day turnaround time on processed applications when CMS standard is 7 days.
- Maintain a 102% Production rating
- Performed at 98% monthly quality audit reviews
- Generate data reporting queries using Microsoft Access
- Performed quality assurance and verification audits on five different health plans
- Processed transactions from Medicare for dual SNP contracts
- Facilitate end to end compliance monitoring and presentations for C&S Medicare enrollment
0-5 years of experience
- Receive inbound phone inquiries from parents who are interested in a reading skills program for their children.
- I take 40+ calls per day from parents discussing their children’s reading skills, explain the program and aiding in overcoming obstacles.
- I meet and exceed goals for the position and also have been leading sales rep for the company.
- Explore motivation for parents to enroll their children into the reading program.
- Help parents make informed decisions regarding the path their children should take.
0-5 years of experience
Customer Service / Enrollment Coordinator.
- Responsibilities include receiving inbound and outbound calls from parents around the country for an online School.
- Responsibilities include receiving inbound and outbound calls from parents around the country for an online School.
- Troubleshooting customer enrollment issues and resolving school documents preparation for new school year.
- Answering to a high volume calls/requests from customers in English, French and Creole and logging in an organizational chart.
- Typing a variety of memoranda for the office, and attending weekly staff meeting for scheduled updates.
0-5 years of experience
- Responsible for recruiting qualified candidates for admission into the school in accordance with federal and state accreditation and company regulations and policies, while adhering to the highest ethical standards.
- Manage time and inquiry resources to generate interest in the various programs the school has to offer new and existing students.
- Conduct a large amount of prospect phone contacts to secure appointments and interviews; conduct follow-up calls with unresolved interviewees and future class applicants.
- Went from being an admissions specialist to admissions enrollment coordinator and soon to student services all within a one year timeframe.
- Consistently ensure the needs of the students are met by fielding questions, providing direction and working to help students choose a career path that is best suited for them.
0-5 years of experience
- Responsible for reviewing and tracking high volume provider credentialing applications to ensure timely and efficient onboarding of eligible providers in the respective contracted managed care plans.
- Work in collaboration with department contacts to complete annual re-credentialing applications for providers to ensure the accuracy of demographic and specialty data in our credentialing database and payer systems.
- Provide department contacts with weekly status updates of current providers going through the Onboarding and re-credentialing process.
- Respond to provider inquiries regarding participation status and enrollment discrepancies with comprehensive research.
- Assist with training new employees to ensure smooth execution of departmental functions and workflows.
0-5 years of experience
- Contacting a large volume of candidates who have expressed interest in studying a postgraduate degree, qualify them, and see if [company name] offers a fit for them.
- Work directly with our Enrollment Directors to procure strong candidates for them to speak with, and bring on-board as students.
- Work collaboratively with a diverse, driven team in a fast-paced environment to develop new best practices.
0-5 years of experience
- Communicate with prospective students via call campaigns, emails, and faxes regarding programs.
- Advise prospective students using a consultative process.
- Provide information on college opportunities and guide students through the admissions process with the goal of determining if the program is a fit for their educational needs.
- Utilize database tools for efficiently tracking each interaction and the progress of all assigned leads.
- Effectively communicate industry trends, quality of leads, and program updates for appropriate cross- functional and departmental team members.
- Review previous term’s conversion metrics to forecast future enrollment metrics.
0-5 years of experience
- Initiates, prepare, facilities, monitors and provide ongoing oversight of consumer service plans, transitional services, eligibility requirements
- Maintain strict confidentiality for all consumer records and information
- Maintain relationships with potential sources and other community partners to increase enrollment numbers
- Attend marking committee meetings and participate in marketing opportunities to increase enrollments
0-5 years of experience
- Trained in HIPPA, Medicare Part D Fraud, Waste, Abuse compliance
- Utilized multiple databases to access patient information to process specialty medication prescriptions.
- Fast-paced, high-volume, results-driven medical office environment.
- Data Entry benchmarks – Typing General: 75wpm, Alpha Numeric: 11098, 10-key: 5173
0-5 years of experience
- Process enrollment applications received on a daily basis
- Verify prospective member eligibility and enrollment history through CMS
- Ensure forms are complete and accurate prior to transmitting the application
- Complete and submit health coverage enrollment applications in a timely and organized manner to prevent minimal delays on application status
- Maintain and secure all confidential information on enrollees as required by HIPPA regulations.
- Assist other team members and departments in projects as needed.
0-5 years of experience
- Responsible for conducting a one on one appointments and interviews with prospective students.
- Use effective analysis tools with prospective students.
- Function as a member of a University-wide team focused on enrolling, retaining and serving adult and graduate students.
- To provide customer service for other departments within service level times.
- Manage lead data and audit applications to ensure the school’s requirements are met.
- Accurate data entry of key indicators and confidential student information.
- Maintain secondary audit to ensure initial audit and data entry correspond post Enrollment and prior to other departments activities.
0-5 years of experience
- Present quality prospective students
- Meet daily hone time goals and maintain a minimum standard of outbound calls to prospective students
- Achieve speed to lead and contact efficiency metrics
- Approach each call with a goal to transfer or set an appointment for the Enrollment Advisor to speak with prospective student
- Accurately record interactions with each prospective students in the database
- Process mail in a timely manner for the business unit
- Be an active participant in cross-functional team events
0-5 years of experience
- Submitted requests for beneficiaries such as updates to address, replacement of ID cards their formularies
- Build case files for Maximus on behalf of the beneficiaries that has been assessed a late enrollment penalty
- Made outbound calls to beneficiary for missing information regarding their enrollment application
0-5 years of experience
- Review and data enter complete and accurate member enrollment information for incoming applicants.
- Maintain member records in accordance with internal and external update notifications, CMS Transaction Reply Reports, daily files, and member edit/error/maintenance reports.
- Respond to and resolve member enrollment issues identified by all departments including, clinical, member services, finance, marketing, etc., with appropriate communication to supervisor and effected parties.
- Provide recommendations on policy and procedure changes aimed at increasing individual efficiency and accuracy levels.
0-5 years of experience
- Monitor and manage caseload assignments, which include sex offenders and other clients with criminal histories.
- Interact with law enforcement, parole and probation and correctional professionals on a regular basis to draft individual plans for adults transitioning back into the community from prison or jail.
- Appear and report/testify in court on behalf of clients with ongoing criminal cases and for clients with guardianship issues.
- Authorize and audit delivery of services from provider agencies to ensure compliance with federal and state regulations.
0-5 years of experience
- Interacting with sales representatives to collect missing information
- Communicating with other departments or managers to resolve sales or customer issues
- Maintain client confidence and projects operations by keeping information confidential
- Prepare various payroll and management reports and journal entries
- Audit enrolled kits to complete CIP/CDD authentication.
- Perform other duties and special projects as requested by management
6-10 years of experience
Receive referrals via phone, fax and internet.
- Enroll and forward all electronic prescriptions.
- Place outbound calls to gather additional patient, payer or prescriber information.
- Expedite escalated prescription requests.
0-5 years of experience
- Assist the College with meeting its recruitment, enrollment, retention and graduation goals by functioning as a resource for students.
- Outreach projects for the purpose of planning, implementing and developing special projects for targeted population.
- Serve as a point of contact for student, parents and the community.
- Proficient with Customer Relationship Management (CRM) software to manage data, implement, track and analyze programs designed to maximize outreach efforts
- Coordinate and participate in outreach events including calling campaigns, mailings, on campus events such as Fast Track, Connect Event.
- Extensive knowledge of Admissions, Financial Aid, Student Accounts, Records and Registration processes.
- Initiate and implement prospective student files by processing applications, transcripts, and test scores.
- Maintain admission records, including those of confidential/restricted nature.
- Provide clerical support to admissions supervisors that include running admissions letters, queries, answering phones, run weekly verification review list, and handle in-person inquires concerning the admissions process.
- Proctor the ACT, Accuplacer Test and CHE 2200 Placement test.
0-5 years of experience
- Responsible for collecting and entering patient demographics, payer information and therapy information for new patients referred to the Specialty Pharmacy.
- Verify patient information from physician offices.
- Verifying eligibility for treatment with insurance companies.
0-5 years of experience
- Processing Medicare enrollments and disenrollments request under limited supervision
- Working daily Enforcer Reports received from SWHP Configuration
- Verifying demographical information and verifying coverage details before processing a member’s enrollment for health insurance
- Ensuring applications are submitted in the proper timeframe and stay compliant with CMS (Centers for Medicaid and Medicare)
- Working transactions on the Daily Transaction Reply Report (DTRR) received from CMS
- Understanding of CMS and Complaince Rules and Regualtions
- Assigning members to Providers
- Performs other duties required or assigned by management in a professional manner
0-5 years of experience
- Answer incoming service and enrollment calls
- Enter and update employee information in Salesforce data base
- Review and assist employees with their enrollment process via phone and email
- Educate employees on plan benefits and cross sell other products such as critical illness, accident, and dental
- Educate employees and employers about self insured health plan along with ACA
- Handle call escalations and work closely with dept or manager to resolve concerns along with disputes
- Coordinate one on one training session for reps on a weekly and as needed basis
- Conduct training for call center
- Provide excellent customer service
- Other duties as assigned
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[Enrollment Coordinator]
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
