CrawlJobs Logo

Enrollment Representative Lead - HP Enrollment Eligibility

christushealth.org Logo

CHRISTUS Health

Location Icon

Location:
United States , Irving

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

The Health Plan Enrollment Representative Lead performs duties relative to financial aspects for member care including financial counseling, billing and collection of accounts, assists management with various other duties as necessary. Under the supervision of the Enrollment Manager/Supervisor, this position will provide efficient and timely processing of project request. The associate will prioritize and coordinate task and projects. This position core responsibilities include, pulling eligibility/billing data for regulatory reporting requirements, analyzing eligibility/billing data, working created statistical reports for the Enrollment Representative Team Lead. This position will be responsible for working various workgroup queues, and other duties as assigned. The core responsibilities will be aligned with the timely and accurate entry of all phases of the enrollment/billing process and coordination/communication across departments, internal and external customers, for an exceptional level of service to our members. This job will be responsible for applying for a Common Access Card (CAC) and will need required approval to be in good-standing by the government for utilizing various databases of information on uniformed services members, U.S. sponsored foreign military, DoD and uniformed civilians, as well as other personnel as directed by the DoD, and their family members. The CAC application process supports the CHRISTUS US Family Health Plan (USFHP) TRICARE Operation Manual (2015 Edition – T17; 2021 Edition – T5) Chapter 14, Section 1 Contracting Requirements.

Job Responsibility:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
  • Maintain knowledge and expertise in eligibility, enrollment and billing
  • and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
  • Enrollment activities for members via paper, file transfer, or internet enrollment processing
  • Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
  • Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
  • Maintain detailed tracking of all quality data updates within the enrollment and disenrollment process
  • Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
  • Responds to internal and external customer inquiries regarding eligibility and related functions
  • Enters information during the enrollment process that assists claims personnel in claim adjudication including COB
  • Performs reconciliation of system data vs program data
  • Receives and works with incoming eligibility from a variety of sources
  • Consistently meets or exceed department and company standards and expectations including but not limited to quality, productivity and attendance
  • Maintain confidentiality for all customers
  • Receives, processes and respond to correspondence or phone inquiries from members
  • Compile data, tracks results and reports to management
  • Attend meeting when applicable
  • Perform other duties as assigned
  • Responsible for initial and/or renewal application for Common Access Card (CAC) to support the CHRISTUS USFHP product line of business. Must complete various government documentation and Cyber Security Training for complete approval from the TASS office by entering information that is correct to the best of the applicant’s knowledge
  • Communicates verbally and in writing with the Facility Security Officer (FSO) during the entirety of the CAC process and completion. This includes undergoing an extensive background check with the government, completing fingerprinting, and requesting permission from the DHA Contracting Officer (KO)

Requirements:

  • High School Diploma
  • 5+ years of enrollment experience
  • Common Access Card (CAC) - be obtained within 6 months and kept current

Additional Information:

Job Posted:
March 24, 2026

Employment Type:
Fulltime
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Enrollment Representative Lead - HP Enrollment Eligibility

Enrollment Representative Lead - HP Enrollment Eligibility

The Health Plan Enrollment Representative Lead performs duties relative to finan...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma
  • 5+ years of enrollment experience
  • Common Access Card (CAC) - be obtained within 6 months and kept current
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
  • Maintain knowledge and expertise in eligibility, enrollment and billing
  • and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
  • Enrollment activities for members via paper, file transfer, or internet enrollment processing
  • Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
  • Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
  • Maintain detailed tracking of all quality data updates within the enrollment and disenrollment process
  • Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
  • Responds to internal and external customer inquiries regarding eligibility and related functions
  • Fulltime
Read More
Arrow Right
New

Traffic Assistance

Location
Location
India , Sabarmati
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
June 25, 2026
Flip Icon
Requirements
Requirements
  • Diploma or Degree in any field from a recognized university
  • Minimum 4+ years of railway sector experience, specifically in locomotive operations or electric shunting
  • Technical knowledge of OHE isolation, electrical safety, railway signaling, and crossing operations
  • Proficiency in MS Office (Word/Excel) and fluency in English and the local language
  • High conscientiousness and attention to detail regarding safety protocols
  • Strong teamwork skills to coordinate with traffic controllers and maintenance engineers
  • Adaptability to changing shift schedules and operational requirements.
Read More
Arrow Right
New

Order Handler CTO

Alfa Laval is looking for an Order Handler to Local Assembly Configure to order ...
Location
Location
Sweden , Lund
Salary
Salary:
Not provided
alfalaval.com Logo
Alfa Laval
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Supply chain experience, knowledge, and improvements
  • Active involvement in problem solutions, captures lessons learned
  • ERP Systems such as Jeeves or Microsoft Dynamics
  • Logistics processes
  • Relevant professional experience (at least 2+ years of experience)
  • Lean, Six Sigma project methodology
  • Swedish and Advanced English language proficiency
  • Bachelor's degree or comparable training/experience
Job Responsibility
Job Responsibility
  • Handle everything from end to end for standard orders
  • Responsible for receiving the order through the supply chain to deliver to the customer
  • Daily contact with internal stakeholders at all levels, Sales companies worldwide, warehouses, and assembly
What we offer
What we offer
  • Impactful position in an international, open, and friendly climate
  • Contribution to sustainability, energy efficiency, and positive global effect
  • Autonomy and control over work
  • Impact on processes from the beginning
  • Fulltime
Read More
Arrow Right
New

Authorizations Confirmation Specialist

We are looking for a motivated, top-notch Authorizations Confirmation Specialist...
Location
Location
United States , Austin
Salary
Salary:
15.00 USD / Hour
actionbehavior.com Logo
Action Behavior Centers
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Demonstrated organization, facilitation, written and oral communication, and presentation skills
  • Demonstrated skills in collaboration, teamwork, and problem-solving to achieve goals
  • Demonstrated skills in verbal communication and listening
  • Demonstrated skills in providing excellent service to customers
  • Excellent writing skills
  • A high level of integrity and trust
Job Responsibility
Job Responsibility
  • Maintains the company’s authorization entry procedures
  • Data entry with 100% accuracy
  • Confirming and entering patient’s authorization information with 100% accuracy in a timely manner
  • Uploading authorization documents quickly and accurately
  • Confirming authorizations via phone calls, daily faxes, and online portals
  • Catching authorization errors and updating when confirming
  • Verifying authorization information entered matches what was requested, using insurance cover sheets submitted per insurance/payor
  • Collaborating with the Director of Revisions and Manager of Insurance Changes and Authorizations regarding specific/special projects on an as needed basis
  • Performs miscellaneous job-related duties as assigned
What we offer
What we offer
  • 10 Days of PTO, 10 Paid Holidays, 2 Flex Days + More with Tenure
  • Student Loan Repayment Employer Contributions
  • Maternity/Paternity Award of up to $3,000 & FSA Options for Childcare
  • Door Dash Pass, Team Happy Hours, and Regional Night of Honors
  • Up to $600 Student Loan Repayment Options & Tuition Discounts
  • Quarterly Team outings and events to bond and celebrate our wins both big and small
  • Professional development: we want to pour into you as you pour into ABC
  • Leadership opportunities: To be the best, we have to continually keep learning and you get to push yourself here to learn more and take on more responsibilities, and show what you can do
  • 401K Retirement Plans with company matching
  • Fulltime
Read More
Arrow Right
New

Assembler

As an integral member of our team, you will play a pivotal role in assembling pa...
Location
Location
United States , Houston
Salary
Salary:
20.00 - 23.00 USD / Hour
alfalaval.com Logo
Alfa Laval
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 1 year of professional experience in the assembly of mechanical equipment or a similar field
  • Experience with pneumatic and hand tools, basic Engineering drawings, and basic electrical and hydraulic terminology
  • High school diploma or equivalent (G.E.D.)
  • Punctuality, reliability, self-motivation, attention to detail, and the ability to work well in a team environment
Job Responsibility
Job Responsibility
  • Assemble parts, components, and equipment to meet quality standards
  • Wire standard and non-standard electrical assemblies
  • Pipe standard and non-standard hydraulic assemblies
  • Test completed assemblies to defined Engineering procedures
  • Perform repetitive assembly tasks independently
  • Provide feedback for safety, product improvement, ease of operation
  • Promote the 5S culture
  • Receive and follow work instructions
What we offer
What we offer
  • Healthcare
  • Dental and vision plans
  • Wellness program
  • 401(k)
  • Paid holidays
  • Paid time off
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Mokena
Salary
Salary:
17.00 - 27.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
June 21, 2026
Flip Icon
Requirements
Requirements
  • Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
  • If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
  • If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
  • State-level licensure and national certification requirements vary by state
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Attention and Focus: Ability to concentrate on a task over a period of time
  • Ability to pivot quickly from one task to another to meet patient and business needs
  • Ability to confirm prescription information and label accuracy, ensuring patient safety
  • Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
Job Responsibility
Job Responsibility
  • Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
  • Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
  • Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
  • keeping patients healthy by offering immunizations and other services at the register and over the phone
  • and demonstrating compassionate care by solving or escalating patient problems
  • Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
  • Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
  • actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
  • Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
  • voluntarily traveling to stores in the market to work shifts as needed by the business
What we offer
What we offer
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • Fulltime
Read More
Arrow Right
New

Certified Nursing Assistant – CNA

Location
Location
United States , East Greenwich
Salary
Salary:
18.50 - 22.20 USD / Hour
atriaseniorliving.com Logo
Atria Senior Living
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Must be Certified Nursing Assistant or Certified Home Health Aide
Job Responsibility
Job Responsibility
  • Enhance the lives of older adults by assisting them with mobility needs and daily living activities, including housekeeping, bathing, grooming, and routine personal tasks
  • Work cooperatively with other talented team members to support and care for residents
  • Receive on-the-job training and have opportunities for career growth and advancement
  • Solve problems and exhibit ethical behavior
What we offer
What we offer
  • Competitive Pay
  • Paid Holidays & PTO
  • Comprehensive Health Plans (medical, vision, dental)
  • Company paid short term and long term disability
  • Critical illness coverage
  • Career Advancement Opportunities
  • Tuition Reimbursement (up to $5,250/year)
  • Employee Loyalty Rewards Program
  • Retirement Savings Plan with Employer Match
  • Rewards & Recognition
  • Fulltime
Read More
Arrow Right
New

Associate Project Manager

This multifaceted role within the healthcare software industry is pivotal within...
Location
Location
United States , Raleigh
Salary
Salary:
88000.00 - 132000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in healthcare, IT, business or related background
  • 2+ years of professional, customer facing work experience
  • Comfortable working and learning in an IT-focused environment with complex products and requirements
  • Knowledge of Microsoft Suite including Outlook, Teams, PowerPoint, and Excel
  • Travel: 10–20% depending on geographic location
Job Responsibility
Job Responsibility
  • Provide strong and proactive project leadership
  • Act with autonomy as the primary point of contact for all client project related needs
  • Develop and distribute project plans detailing resource engagement and product delivery timelines
  • Host remote and in-person recurring meetings, providing agendas and meeting minutes
  • Build internal and external customer relationships and manage expectations
  • Accurately forecast project completion and revenue delivery
  • Develop applicable product expertise
  • Continuously reassess and prioritize defined sequence tasks, through individual effort and the coordination of the work of others
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Fulltime
Read More
Arrow Right