Receive inbound calls related to enrollment process from internal and external clients; provide information as it relates to client inquiry.
Assemble and review new and existing client enrollment packets are completed accurately.
Review enrollment packets to ensure data is entered accurately prior to submission to insurance payers.
Mail and track enrollment packets to clients and/or insurance payers; provide updates and status of enrollment, as needed.
Research and resolve simple client or insurance payer enrollment issues or concerns; escalate more complex inquiries or issues to appropriate representative.
Update and review client enrollment progress through internal tracking applications.
Participate in 'go live" timetables with internal sales and support teams.
Follow prescribed standard operating procedures (SOP) throughout client and insurance payer enrollment process.
Work with client support teams related to technical issues due to client enrollment errors or changes.
High School Graduate or General Educational Development (GED).
Some college coursework.
6 months in a customer service environment.
Or, any combination of education and experience which would provide the required qualifications for the position.
1+ year experience in customer service environment.
Previous experience in a client or insurance payer enrollment environment.
Knowledge, Skills & Abilities:
Knowledge of Microsoft Office (Word and Excel) with basic proficiency skills in creating, editing, and saving shared documents/files.
Knowledge of Microsoft Office Outlook -- basic proficiency in email organization, calendar scheduling, and task reminders.
Knowledge and understanding of customer service expectations within a client focused organization.
Ability to multitask and navigate various software applications during the normal course of work.
Ability to communicate with internal and external clients through various communication resources such as telephone, email, and chat.
Ability to demonstrate organizational skills to meet deadlines and prioritize workload.
Ability to demonstrate a strong attention to detail.
Ability to identify issues and apply problem solving skills.
Ability to demonstration interpersonal skills with internal and external clients and colleagues.
Ability to work in a team environment employing a hands-on approach with colleagues at all levels of the organization.
Ability to communicate effectively (both written and verbal).
Ability to establish and maintain effective working relationships through collaboration and respect.
NextGen Healthcare believes in strength through diversity. We are an equal opportunity workplace and an affirmative action employer supporting Diversity, Disabled, and Protected Veterans. Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, gender identity, disability or veteran status. To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Because NextGen Healthcare believes in providing a safe work environment, we conduct background checks as part of our hiring processes.
The EDI Enrollment Representative I will provide first level contact for internal and external clients and will perform day-to-day transactional responsibilities including but not limited to data entry into various software applications and tracking databases, verify accuracy of data, enrollment submissions, and tracking enrollment packages. EDI Enrollment Representative I will prepare, process, and maintain client and insurance payer enrollments and provide simple, first level administrative and/or technical support to clients throughout the enrollment process. 18111 Von Karman Ave Suite 800, Irvine, California 92612 Regular