Enrollment Audit Specialist

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose:
Processes and maintains eligibility information for routine individual and/or employer groups under general supervision.

• Maintains accurate eligibility records for individuals and/or assigned employer groups
• Process all enrollments; plan changes, and disenrollment transactions
• Reviews aging to determine delinquent accounts, membership reconciliation issues from premium issues
• Produces and distributes delinquent notices to members
• Provides daily support on incoming verbal or written correspondence enrollees regarding eligibility and processing status
• Communicates policies, procedures and benefits to employees, enrolled members or, if applicable, employers
• Interacts with staff in other departments to clarify and resolve eligibility problems presented by members
• Provides cross training and back-up assistance to other enrollment groups
• Provides support within service operations as needed such as Membership Accounting
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:
High School diploma or equivalent required. Two years general office work experience with attention to detail. One year previous experience in an HMO insurance or medical setting preferred. Medicare enrollment processing experience highly preferred.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act