02 Oct
|
Weekday AI
|
Bengaluru
02 Oct
Weekday AI
Bengaluru
Description
This role is for one of Weekday’s clients
Salary range: Rs 400000 - Rs 700000 (ie INR 4 - 7 LPA)
Min Experience: 3+ years
Location: Bengaluru
JobType: full time
We are seeking an experienced and detail-oriented Enrollment Specialist with 3–6 years of experience in the US Healthcare domain. The ideal candidate will have a strong understanding of healthcare processes, member information, enrollment operations, and insurance-related workflows. This role requires excellent attention to detail, strong analytical and communication skills, and the ability to manage enrollment-related activities accurately within defined timelines.
Requirements
Key Responsibilities
- Manage and process healthcare enrollment activities in accordance with established procedures, client requirements, and regulatory guidelines.
- Review and validate member enrollment information, eligibility details, demographic data, and supporting documentation for accuracy and completeness.
- Handle member enrollment, additions, terminations, changes, and updates across healthcare plans and systems.
- Coordinate with internal teams, healthcare clients, insurance carriers, and other stakeholders to resolve enrollment-related issues.
- Identify discrepancies in enrollment and member data and take appropriate action to ensure timely resolution.
- Maintain accurate records of enrollment transactions, member information, and related documentation.
- Perform data validation and quality checks to minimize errors and ensure the accuracy of member and enrollment records.
- Investigate enrollment discrepancies, eligibility issues, missing information, and transaction errors, escalating complex cases when required.
- Follow established Standard Operating Procedures (SOPs), quality guidelines, and turnaround-time requirements.
- Support reconciliation activities by comparing enrollment data across multiple systems and identifying mismatches.
- Prepare and maintain reports related to enrollment volumes, pe
📌 Enrollment Specialist (Bengaluru)
🏢 Weekday AI
📍 Bengaluru