Enrollment Technician II
PacificSource

Job Info

---

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview:

Process member enrollment from paper applications, spreadsheets and electronic transactions, for new and existing commercial groups. Ensure entries are complete, accurate, and processed within designated timeframes. Determine creditable coverage, update member records upon receipt of verified information, and request ID cards and letters as necessary.

Essential Responsibilities:

Enter data for new subscribers and dependents, with a high level of speed and accuracy, utilizing desktops, policies, and applicable state and federals laws. Update subscriber demographic information based on enrollment applications and spreadsheets, and modify coverage selections for customized plans, maintaining data integrity. Communicate with other internal teams regarding missing enrollment information or validation of application data. Process special enrollments per current entry and audit procedures. Review applications with unusual circumstances with Team Trainer or Team Leader. Verify prior creditable coverage when necessary. Prepare, process and audit enrollment from mass plan changes for renewal business. Audit data entries made to ensure enrollment is accurate and complete. Complete tasks as defined on monthly duty roster. Resolve identified errors based on Quality Control's daily audit, and PacificSource Relative Index of Service Measures (PRISM) audits for paper and electronic enrollments, to prevent future errors. Meet department accuracy standards and PRISM measures. Respond to internal customers regarding application processing status on specific enrollment applications. Assist in the development, updates and revisions to job aids and policies and procedures. Assist in the testing, design, and change implementation to internal systems and processes.

Supporting Responsibilities:

Meet department and company performance and attendance expectations. Participate in LEAN Board daily review, team/department meetings, mentor training, and team building activities. Support goals and responsibilities, regardless of varying state rules and guidelines. Participate in various committees, interoffice meetings, and attend Mentor Lessons as scheduled Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: Minimum of two years prior office work experience with strong keyboarding and 10-key skills required. Experience with Excel is required.

Education, Certificates, Licenses: High school diploma or equivalent required.

Knowledge: Ability to understand and interpret Federal, Oregon, Montana, Washington and Idaho State laws and PacificSource contract provisions. Excellent verbal, telephone and written communication skills. Ability to adhere to company and department policies and meet expectations for service, accuracy and efficiency.

Competencies

• Adaptability
  
• Building Customer Loyalty
  
• Building Strategic Work Relationships
  
• Building Trust
  
• Continuous Improvement
  
• Contributing to Team Success
  
• Planning and Organizing
  
• Work Standards
  

Our Values

• We are committed to doing the right thing.
  
• We are one team working toward a common goal.
  
• We are each responsible for our customers' experience.
  
• We practice open communication at all levels of the company to foster individual, team and company growth.
  
• We actively participate in efforts to improve our communities-internal and external.
  
• We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.
  

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

This job has expired.