Responsibilities

This role involves managing and processing enrollment applications for KelseyCare Advantage across different health plan options. It includes handling calls from members, clinics, or health plan reps to sort out any eligibility queries, as well as making calls to confirm members' enrollment status. The job requires analyzing eligibility documents, using a variety of system applications and databases to process files, addressing eligibility edits, and keeping the enrollment system data updated for over 100,000+ managed care members. Additionally, the role covers updating member eligibility, supporting the processing of data files from employer group health plans, managing enrollments, handling necessary member communications, and helping with system testing

Job Title: Enrollment Analyst I

Location: Pearland Administrative Office

Department: Kelseycare Operations

Job Type: Full Time

Salary Range: $ 41,880 - $51,725 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: High School diploma or GED from an accredited program

Preferred: Some college or technical school

Experience

Required: 1-3 years Healthcare Industry or 6 months experience working in KelseyCare Advantage Sales

Preferred: -2 years background in enrollment and/or reconciliation

Prior experience Customer Service in Healthcare Industry

License(s)

Required: N/A

Preferred: N/A

Special Skills

Required: Excellent Written and Verbal Communication Skills

3-5 years computer, with exposure to various applications to include MS Excel, Word, PowerPoint and Outlook

Preferred: Experience with CMS and/or Knowledge Medicare Advantage enrollment process

Ability to export file from Access to Excel

Other

Required: Ability to read and interpret technical reports.

Query reports and provide feedback to appropriate personnel.

Be flexible, able to work overtime as needed.

Detail oriented, and work with minimum supervision to meet strict deadlines.

Preferred: N/A

Working Environment: Office

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental

• Tuition Reimbursement

• Company Matching 401K

• Employee Reward and Recognition Program

• Paid time off for vacation, sick, and holidays

• Employee Assistance Program

• Continuing Medical Education allowance

Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.