Elig & Enrollment Specialist

Driscoll Careers

Corpus Christi, TX, United States
Health human services commission (hhsc) compliance
Utilization review accreditation commission (urac) standards
Maintain confidentiality of member data
The Eligibility and Enrollment Specialist is responsible for receiving, reviewing, processing, and maintaining new member(s) enrollment information

Job Summary

  • The Eligibility and Enrollment Specialist is responsible for receiving, reviewing, processing, and maintaining new member(s) enrollment information.
  • The Eligibility and Enrollment Specialist is responsible for monitoring and working to ensure that member eligibility and enrollment requirements/verifications are in compliance with Health Human Services Commission (HHSC) contractual requirements and Utilization Review Accreditation Commission (URAC) standards.
  • Where compassion meets innovation and technology and our employees are family.

Matching Summary

The Eligibility and Enrollment Specialist is responsible for receiving, reviewing, processing, and maintaining new member(s) enrollment information.

Skills & Requirements

Must-have

  • Health Human Services Commission (HHSC) compliance
  • Utilization Review Accreditation Commission (URAC) standards
  • Maintain confidentiality of member data
  • Microsoft Excel and Word proficiency

Nice-to-have

  • Compassion meets innovation
  • Employees are family
  • Ethical business practices
  • Integrity and discretion

Key Requirements

  • Two-year degree or Associate’s degree
  • 1 year related experience with High School Diploma
  • Minimum 5 years of related experience with High School Diploma (for II)
  • Experience with health insurance and managed care principles

Work Rights

Not specified

Tailored Resume

Cover Letter