Manager Enrollment Services
The Manager of Commercial Enrollment is responsible for the accurate and timely processing of membership enrollment for ACA Consumer, Electronic 834 enrollment vendors and manual enrollment work within IBC and vendor systems including mPulse/H3O, EDI Portal and Health Proof. The accurate and timely processing of member ID Cards and various Member Correspondences. Effectively manages supervisors to ensure that productivity, fallout and quality standards, attendance policies, corporate training, and performance management timeline are being maintained.
Responsibilities:
- Effectively manages the inventory received from all sources with the supervisors, including but not limited, to the mailbox, e-mail to One Hub, Report Center, SNOW, vendor applications and the queues. Applies strategies to manage the inventory in under five days.
- Monitors that the supervisors apply their coaching and counseling skills when needed and apply corrective action when necessary.
- Manages daily huddles with the supervisors to plan inventory and priorities.
- Analyzes all aging and repetitive inquiries to determine root cause and works with business partners to find and implement solutions to resolve.
- Responds to customer RFPs and Performance Guarantees.
- Prepares and analyzes required data to determine if all corporate and divisional goals are being met to include operational efficiencies.
- Assists the Director to establish the strategic direction for the division.
- Facilitates regularly scheduled meetings with management team to discuss EDI, manual enrollment and id card issues, prioritization changes and other customer concerns.
- Establishes, defines and communicates IBC Enrollment policies and procedures with Director level approval.
- Creates and maintains a team atmosphere and work environment to promote work productivity.
- Represents Director at meetings, when needed.
- Performs other duties as assign.
Qualifications
Education and Experience:
- Bachelor’s degree is preferred or equivalent work experience
- Minimum 6 or more years’ experience in health care operations and 4-5 of supervisory experience.
- Demonstrated experience managing and dealing effectively with large teams and leading cross departments.
Knowledge and Skills:
- Familiarity with data processing and the ability to work with documented policies and procedures.
- Health Proof, Zelis, Web Integration, EDI Portal, Excel, Word, Visio, PowerPoint, SharePoint, Avaya or a system that logs productivity.
- Demonstrated experience with Health Insurance Regulations and enrollment systems and policies and procedures.
- Excellent verbal and written communications skills.
- Demonstrated leadership, decision making, strategic thinking and collaborative skills
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
AmeriHealth Casualty has been successfully returning employees to work since 1994, providing quality medical treatment and care and reducing costs for our customers. With our affiliates, we serve more than 1,800 businesses in the area and have offices in Philadelphia, Camp Hill, and Pittsburgh, PA, and Mount Laurel, NJ.
In 1994, CompServices, Inc. began offering workers’ compensation third-party administration services for manufacturers, municipalities, health care facilities, social services, transportation risk, universities, and retail firms. In 1996, AmeriHealth Casualty Insurance Company was established as an extension of our workers’ compensation claims services — its mission to provide workers’ compensation insurance combined with high quality claims service and cost containment.
AmeriHealth Casualty Insurance Company and CompServices write premiums and administer self-insured programs for over 1,800 customers.
Equal Employment Opportunity
AmeriHealth Casualty is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Casualty employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Casualty and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Casualty or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.