Enrollment Specialist - CoxHealth Plans
CoxHealth, Springfield, Missouri, United States, 65801
Enrollment Specialist I
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. Named one of Modern Healthcare's Best Places to work five times. Named one of America's Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbes as one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation's Top Companies to Work for in Healthcare in 2025. Benefits include medical, vision, dental, retirement plan with employer match, and many more! Job Description: The Enrollment Specialist I is responsible for performing Enrollment Services functions and meeting production goals as well as quality assurance goals. These duties include the knowledge of all Certificate of Coverages, Summary Benefit Designs regarding eligibility and termination requirements of members and verifying members are eligible for coverage prior to data entry of membership. Communicates both oral and written to Cox HealthPlans plan administrators. Responsible for working with plan administrators to resolve concerns regarding their members. Education: Required: High School Diploma or Equivalent Experience: Required: 1 year of phone experience Preferred: 1-2 years of office experience Skills: Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. Self starter. Possess the ability to communicate in a prompt and efficient manner, both orally and written. Ability to answer and resolve calls Demonstrate ability to be detailed oriented Able to process documents in a timely manner Able to keep above a 99% quality assurance metric Must have high accuracy in data entry and review documents with sharp attention to detail. Ability to handle large volumes of data. Strong verbal, written, interpersonal, grammar, and proofreading skills. Understanding of the customer service process. Licensure/Certification/Registration: N/A
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. Named one of Modern Healthcare's Best Places to work five times. Named one of America's Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbes as one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation's Top Companies to Work for in Healthcare in 2025. Benefits include medical, vision, dental, retirement plan with employer match, and many more! Job Description: The Enrollment Specialist I is responsible for performing Enrollment Services functions and meeting production goals as well as quality assurance goals. These duties include the knowledge of all Certificate of Coverages, Summary Benefit Designs regarding eligibility and termination requirements of members and verifying members are eligible for coverage prior to data entry of membership. Communicates both oral and written to Cox HealthPlans plan administrators. Responsible for working with plan administrators to resolve concerns regarding their members. Education: Required: High School Diploma or Equivalent Experience: Required: 1 year of phone experience Preferred: 1-2 years of office experience Skills: Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. Self starter. Possess the ability to communicate in a prompt and efficient manner, both orally and written. Ability to answer and resolve calls Demonstrate ability to be detailed oriented Able to process documents in a timely manner Able to keep above a 99% quality assurance metric Must have high accuracy in data entry and review documents with sharp attention to detail. Ability to handle large volumes of data. Strong verbal, written, interpersonal, grammar, and proofreading skills. Understanding of the customer service process. Licensure/Certification/Registration: N/A