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100% Remote Enrollment Specialist/Healthcare Customer Service Rep

Company: Medix
Location: Charlotte
Posted on: November 22, 2021

Job Description:

Job Description

Job Summary:

The Membership and Enrollment Specialist I is responsible for providing level one support to Bright Health members.

Provides Level 1 support by answering incoming calls regarding Enrollment, Eligibility and/or Premium Billing Questions.

Collaborates with internal and external Health Partners to resolve Level 1 Enrollment an Eligibility issues.

Facilitates collection of outstanding premium.

Work with State-based exchange and Federal Facilitated Marketplace (FFM) to resolve Level 1 enrollment, premium, APTC/CSR disputes or discrepancies.

Participate in the discovery and resolution of root cause for recurring issues.

Work with Members in grace period to resolve billing issues and/or collect outstanding premium.

Ensure that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships.


Strong communication skills, both verbal and written (bilingual is a plus, but not required)

Must be detailed oriented and present critical analytical thinking skills

Must display active listening skills

Must present strong ability to read and comprehend material presented both orally and in writing

Organized and be able to prioritize work to meet deadlines

Works independently with little supervision

Able to thrive and adapt in a fast paced, stressful environment

Must be flexible to change and open to learning new tasks as assigned

Must have experience using Microsoft Office, along with general typing skills

Understanding of regulatory and compliance rules surrounding enrollment and eligibility

Must have 1-2 years of Healthcare knowledge

High School diploma or GED required.

One to three years of customer service experience required in a call center environment.

3-5 Must Have Skills/Qualifications

Experience in the healthcare field, specifically with a health plan or dealing with benefits in some way

Affordable Care Act, Federally Facilitated Marketplace, and Medicare or Medicaid experience - these are nonnegotiable

Call center, preferably in a health care environment for at least 1- years

Computer literate. They will be operating out of 7 - 9 systems and need to have the capacity to learn and navigate efficiently through each application

Customer Service experience (preferably in a call center environment, as they will be used to the fast paced environment, calls, and dealing with customers in a professional way)

Healthcare experience with (eligibility/enrollment, explanation of benefits (EOB's), underwriting, appeals and grievances and billing)

About Medix?

Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries.

Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for. Let Medix be your partner as you move your career forward. Contact us today!


Once you have been a contract employee of Medix for 30 days, you become eligible for our Benefits Program. Should you elect to enroll, there are three levels of medical coverage to choose from, supplemental dental plans and term plans as well as the option to enroll your spouse and/or children. You can select the best combination that best suits your needs.

As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

Minimum Essential Coverage (MEC) plan

Two different fixed indemnity plan add-ons

Major Medical Plans, including 1 HSA Plan



Short-term disability

Life and AD&D

This years recipient of the Business Ledger's "Entrepreneurial Excellence Growth Award"

Join our network of talented professionals!

Company Description
Medix is a company fiercely dedicated to positively impacting lives and businesses with talent solutions backed by people data and industry expertise.
CORE PURPOSE: To bring opportunities to businesses and job seekers that positively impact lives.
At Medix, we boldly and decisively put people ahead of everything. Why? Because when you make the right choices for people, purpose is clear and performance and profits follow.
Every day we positively impact the lives of our talent, clients, internal team and communities by:
Ensuring every person can thrive at work, placing them in roles that match their skills and aspirations
Knowing what matters most to clients, from skills to culture, to deliver workforce solutions that fuel productivity and success
Building a purpose-driven, values-led workplace where employees are empowered to do good and deliver their best work
Giving back in numerous ways to strengthen the communities we serve.

Keywords: Medix, Little Rock , 100% Remote Enrollment Specialist/Healthcare Customer Service Rep, Sales , Charlotte, Arkansas

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