Membership & Enrollment Representative Jobs in Minneapolis, MN at Bright Health
Title: Membership & Enrollment Representative
Company: Bright Health
Location: Minneapolis, MN
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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.
SCOPE OF ROLE
The Membership and Enrollment Specialist I is responsible for providing level one support to Bright Health members.
The Membership and Enrollment Specialist I job description is intended to point out major responsibilities within the role, but it is not limited to these items.
Provides Level 1 support by answering incoming calls regarding Enrollment, Eligibility and/or Premium Billing Questions.
Collaborates with internal and external Bright Health Partners to resolve Level 1 Enrollment and Eligibility issues.
Facilitates collection of outstanding premium(s).
Work with State-based exchange and Federal Facilitated Marketplace (FFM) to resolve Level 1 enrollment, premium, APTC/CSR disputes, or discrepancies.
Participate in the discovery and resolution of root cause for recurring issues.
Work with Members in grace period to resolve billing issues and/or collect outstanding premium.
Ensure that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
High School diploma or GED required.
One to three years of customer service experience required in a call center environment.
Must have previous knowledge and/or experience working with Individual Family Health Plans(IFP), Federally Facilitated Marketplace(FFM) and the Affordable Care Act(ACA)
Strong communication skills, both verbal and written (bilingual is a plus, but not required)
Must be detailed oriented and present critical analytical thinking skills
Must display active listening skills
Must present strong ability to read and comprehend material presented both orally and in writing
Organized and be able to prioritize work to meet deadlines
Works independently with little supervision
Able to thrive and adapt in a fast paced, stressful environment
Must be flexible to change and open to learning new tasks as assigned
Must have experience using Microsoft Office, along with general computer and typing skills
Understanding of regulatory and compliance rules surrounding enrollment and eligibility
Must have 1-2 years of Healthcare knowledge
Must be open to any shift available based on need
Bilingual a plus
In normal circumstances, the majority of work responsibilities are performed in an open office setting, carrying out detailed work as assigned, sitting in a workspace, and working with a computer or other office equipment. Must be required to be able to sit for approximately 70% daily.
Some travel may be required
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.