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membership and enrollment specialist I

Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.

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

ROLE RESPONSIBILITIES
The Membership and Enrollment Specialist I job description is intended to point out major responsibilities within the role, but it is not limited to these items.

Provides Level 1 support by answering incoming calls regarding Enrollment, Eligibility and/or Premium Billing Questions.
Collaborates with internal and external Bright Health Partners to resolve Level 1 Enrollment and Eligibility issues.
Facilitates collection of outstanding premium(s).
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.

SUPERVISORY RESPONSIBILITIES
This position does not have supervisory responsibilities.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

High School diploma or GED required.
One to three years of customer service experience required in a call center environment.
Must have previous knowledge and/or experience working with Individual Family Health Plans(IFP), Federally Facilitated Marketplace(FFM) and the Affordable Care Act(ACA)

PROFESSIONAL COMPETENCIES

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 computer and typing skills

Understanding of regulatory and compliance rules surrounding enrollment and eligibility

Must have 1-2 years of Healthcare knowledge

Must be open to any shift available based on need
Bilingual a plus

BEHAVIORAL AND LEADERSHIP NORMS

Bright Values: Lives the Bright Values. Is focused on positivity and respect in all service interactions. Is focused on bravery needed to develop a variety of skills. Not afraid to ask questions. Focus on the team’s successes, and how to support that effort.
Collaboration: Is an effective collaborator that works well with the functional team and others in the organization to align on timelines and effective delivery of a project or task. Is solution oriented. Is able to work with different personality types and teammates to overcome differences in opinion and thought to achieve common company goals.

Delivers Results: Is results oriented. Focuses on results and the best and most efficient avenue for achieving results. Helps to create process and follows process to achieve results. Ensures thorough documentation of work and process. Works with manager on goal setting to ensure timely and high-quality work product. Is focused on managing against a predetermined set of objectives.

Exhibits Curiosity: Focuses on learning about the business at large. Seeks to understand how they can contribute to driving the business forward and how the bigger picture works. Actively participates in his/her own career development.

Multi-tasking: Balances multiple work projects and tasks at any given time. Alongside manager or appropriate Bright teammate, re-evaluates priorities based on changing company needs to understand what must be done today. Consistently meets deadlines.

Service Mindset: Has an outlook that focuses on creating customer value, loyalty, and trust. Responds promptly to customer and business needs. Goes above and beyond simply providing service, to build relationships with customers and anticipate needs.
Upward Management: While balancing multiple work projects and tasks, successfully manages expectations with appropriate project owner about capacity, challenges, and barriers to success. Is not afraid to ask for help, guidance, or feedback.

We’re Making Healthcare Right. Together.

We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:

Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.

Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.

Powered by Technology

We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Bright Health Group Glassdoor Company Review

3.1

Bright Health Group DE&I Review

3.5

CEO of Bright Health Group

Mike Mikan

Approve of CEO

By Bright Health Group

Our Mission is to Make Healthcare Right. Together.At Bright HealthCare, we believe quality healthcare should be accessible, easy and affordable. Our approach to plans, services and benefits make health insurance easy-to-understand and easy-to-use.

1 jobs

BENEFITS & PERKS

Dental Insurance

Disability Insurance

Flexible Spending Account (FSA)

Health Savings Account (HSA)

Vision Insurance

Performance Bonus

Family Medical Leave

Paid Holidays

FUNDING

Growth