Enrollment
Specialist (temporary
Summary
UPMC Health Plan is hiring full-time,
temporary Enrollment Specialists to help support the Enrollment Department for
its downtown Pittsburgh location. The Enrollment Specialist will be responsible
for the creation and maintenance of eligibility in the transactional system
(MC400), responding to both internal and external customer inquiries, and
resolving issues to meet or exceed service requirements. The Enrollment
Specialist will work 8:00 am to 5:30 pm Monday through Friday with Saturdays
and overtime as necessary.
- Process all types of transactions (enrollment, disenrollment, plan changes, and maintenance actions) in accordance with Federal and State regulatory guidelines as well as company policies and procedures
- Review, analyze and apply specific Election Period guidelines and determine appropriate election period
- Generation of appropriate member correspondence based on type of transaction processed
- Initiation of direct contact with members to address and resolve problems and questions
- Interact with Medicare Sales staff to ensure all CMS required data elements for completed application are received and any issues are addressed timely
- Assess, investigate, and resolve issues to ensure customer satisfaction
- High school graduate or equivalent required, college degree preferred
- Knowledge of Microsoft Office and Excel spreadsheet program preferred
- Visit UPMC.com/Careers
- Select Quick Search
- Select Advanced Search
- Enter one of the following numbers in the Job Opening ID field:
- 2079598 (Enrollment Specialists)
- Select the job and Apply Now
- Under Step 6: Referral Information, please input the name of the employee who referred you in the Referral Name field (Rick Palshaw)
