Quartz Health Solutions

Member Enrollment Specialist

Quartz Health Solutions  •  $21/hr  •  Wisconsin (Remote)  •  3 hours ago
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Job Description

Do you pride yourself on accuracy and working efficiently? Are you passionate about getting things right the first time, and known to have an eye for detail? Do you have an interest in improving the health of others by ensuring their health benefit selections are accurate and up to date? Do you thrive in a fast-paced, ever changing environment? If so, please consider joining our growing Member Enrollment team!

Quartz is seeking detail-oriented individuals to process enrollment transactions, including entering new member benefit selections and disenrolling members from the system, along with applying eligibility rules & requirements to process member benefit changes.

Benefits:

  • Starting pay: $21/hr.
  • Full-time virtual, telecommuting, work from home environment
  • Consistent schedule of 8:00 am-5:00 pm, Monday – Friday
  • Paid training, many opportunities for growth and professional development, and a supportive, inclusive work environment

Responsibilities

  • Process enrollment transactions, including entering new member benefit selections and disenrolling members from the system, and processing member benefit changes or eligibility requirements
  • Process, review and compare electronic and roster files, investigate and update other insurance, and process other enrollment-related reports
  • Work closely with members, group contacts, agents and regulatory agencies to answer enrollment-related and eligibility inquiries and ensure all enrollment regulations and requirements are met
    • Identify and resolve issues, including reconciling any eligibility discrepancies
  • Understand and remain knowledgeable of all enrollment regulations, including but not limited to: effective dates, termination dates and other eligibility-related regulations and requirements

Qualifications

  • Associate’s Degree preferred, with 1+ years of experience within the health insurance industry or healthcare field

OR

  • High School Diploma or equivalent, with 4+ years of experience working in a professional setting, with exposure to transactional processing
  • Fundamental knowledge of health insurance practices, regulations, procedures and/or medical terminology
  • Experience working on a computer regularly to perform assigned work tasks, with proficiency with web-based computer applications and Microsoft programs,
  • Experience working with Epic applications is preferred

Additionally, we are seeking individuals who possess the following skills:

  • Excellent active listening skills
  • People-oriented, with the ability to show empathy and compassion, along with the willingness to be helpful
  • Ability to multitask – specifically able to efficiently navigate through multiple computer applications and manage multiple priorities in a fast-paced environment
  • Excellent written and verbal communication skills
  • Works well in a team environment and independently as a telecommuter
  • Excellent attendance record

This full-time position will work remotely. Ability to commute to one of our offices in Madison, WI or Onalaska, WI at least 1-2 times per year may be necessary. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility, Relationships and Resourcefulness. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.

Quartz Health Solutions

About Quartz Health Solutions

We believe that the health insurance industry should do far more than just provide access to doctors and cover or administer claims. We believe health care plans should help people live healthier. Which is exactly what makes us different. As a health plan management and administrative services company, we’re leading the charge on everything from expanding network physician and provider options to creating innovative approaches to wellness, prevention and community well-being. That’s because at Quartz, we’re a company committed to good health.

Beginning in mid-2017, Gundersen Health Plan, Unity Health Insurance and Physicians Plus joined forces under the Quartz brand name, with Advocate Aurora Health joining us in 2021. Together, we provide our members with high-quality service and affordable coverage.

We manage services for those health insurance plans as well as provide administrative services for self-funded health plans as Quartz ASO, while serving 350,000+ customers who live in southern, eastern and western Wisconsin, parts of Illinois, Iowa, and Minnesota from offices located in Onalaska and Fitchburg, Wisconsin.

For more information visit: QuartzBenefits.com.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Fitchburg, Wisconsin
Year Founded
2016
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