Job Summary

Serve as an experienced enrollment and billing team skilled managing complex benefits open enrollment activities in a hybrid work model during night shifts. Coordinate payer and provider requirements safeguard HIPAA compliance and support accurate member data premium calculations and billing accuracy to improve client satisfaction and operational efficiency.

Responsibilities:
Manage end to end benefits open enrollment processing to ensure accurate capture of member elections and timely updates in enrollment systems for payer and provider stakeholders

Coordinate enrollment data validation and reconciliation activities so that member coverage records premium calculations and group level details remain consistent across internal and external systems

Monitor daily and nightly enrollment and billing transaction queues to identify exceptions investigate root causes and drive prompt resolution that protects member coverage continuity





Document and maintain standard operating procedures for enrollment and billing workflows so that process consistency quality and audit readiness are continuously improved

Collaborate with payer and provider operations teams to interpret benefit plan designs eligibility rules and product changes and translate them into exact enrollment and billing configurations

Analyze enrollment and billing metrics such as turnaround time accuracy and exception volume to identify improvement opportunities that enhance service quality and reduce rework

Support configuration of enrollment rules billing cycles and rate structures in relevant tools to ensure that premium calculations and invoices align with payer and provider contracts

Communicate clearly with internal stakeholders through concise written updates and structured night shift handoffs that maintain continuity across hybrid team members

Respond to complex inquiries from client facing teams regarding member enrollment status coverage changes and billing discrepancies with

📌 Tl-enrollment & Billing (Pune)
🏢 Cognizant
📍 Pune