Conduent Healthcare Enrollment Specialist in Albuquerque, New Mexico
Healthcare Enrollment Specialist
Healthcare Enrollment Specialist
Conduent Business Services - Albuquerque, NM
The Enrollment Specialist performs the activities involved with processing Healthcare and Self-Directed Community Benefit program enrollment documentation for vendors and employees. They must ensure the documents submitted are correct and acceptable. Documents are received by fax, mail and office delivery. Each document is reviewed, converted to PDF image, and sent for final review and processing. Every document is also logged and indexed for record keeping.
Inspects enrollment documentation for vendors and employees for completeness and accuracy
Works with the enrollment Supervisor to collect missing or corrected documentation
Processes the enrollment documentation so vendors and employees can be set up to be paid
Solves problems systematically, using sound business judgement
Effectively communicates problem resolutions to management and work peers
Monitors delegated customer service issues to ensure timely and accurate resolution
Consistently meets established productivity, schedule adherence, and quality standards
Adapts procedures, processes and techniques to meet the more complex position requirements
Seeks involvement in continuous quality improvement initiatives
Must have excellent oral and written communication skills and demonstrated analytical skills
All other duties as assigned
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .
Responsible for responding to customer inquiries and complaints regarding company records, billings, contract renewals, and supply returns. Answers and initiates a variety of real-time inbound and outbound voice-based communications in English or other languages to support customer care.
Using a computerized system, responds to customer inquiries in a call center environment.
To resolve customer queries and complaints, which fall within the scope of the assigned responsibilities (Some examples may include Billing, Healthcare, Human Resources, Order Processing, or Customer Support). Agents will have at their disposal a range of tools, processes and systems to address the customers inquiries with speed and efficiency.
The purpose of the role is to respond to inbound calls and or written inquiries from clients / customers. Ensures high level of customer satisfaction is obtained with each interaction. Role is responsible for assigned population of customers within a specified region of support.
Senior level job with considerable work experience
Has developed specialized skills or is multi-skilled through job-related training
Completes a variety of atypical assignments
May solve problems of a recurring nature, but takes a broad perspective to problems and may identify new, less obvious solutions
Completes work with a limited degree of supervision
Acts as an informal resource for colleagues with less experience
May lead a team in the performance of a variety of tasks that are generally routine
May have specialized external certification (technical roles)
Responds to telephone inquiries and complaints using standard scripts and procedures
Gathers information, researches/resolves inquiries and logs customer calls
Communicates appropriate options for resolution in a timely manner
Informs customers about services available and assesses customer needs
Prepares standard reports to track workload, response time and quality of input
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .
Job Customer Care
Primary Location United States-New Mexico-Albuquerque
Unposting Date Ongoing
Req ID: 18019409