Enrollment Analyst Resume Samples

An Enrollment Analyst processes manual hard copy enrollment requests efficiently and accurately. Major duties and responsibilities that are listed on the Enrollment Analyst Resume are – processing hard copy enrollment forms; consistently achieving key internals concerning cycle time, quality, and production; working with supervisor and co-workers to provide strong customer service; driving key performance indications, consistently meeting or crossing targets; and working with supervisors to develop self-remediation plans.

The most sought-after skills for the post include the following – data entry skills; enrollment processing knowledge; the ability to read and interpret handwritten forms; working knowledge of interface systems including the claims systems and file bound; working knowledge of software programs; strong customer service focus; and advanced MS Excel. A high school diploma or GED is mandatory.

Enrollment Analyst Resume example

Enrollment Analyst Resume

Objective : As an Enrollment Analyst, responsible for Facilitating and/or assist with the automated enrollment process, including automated monthly loads, member reconciliation, member notifications, also newborn enrollments, presumptive newborn dis-enrollments and long term care dis-enrollment requests.

Skills : Analyst, Management Skills, Communication Skills.

Description :

    1. Provided support as a team player in a fast-paced atmosphere with constant changes and ambiguity.
    2. Acquired and demonstrated a thorough knowledge of the unique arrangements specific to the individual provider or organization and ensured correct files and database records were created for providers and/or organizations with those arrangements.
    3. Completed credentialing of health care providers.
    4. Assisted daily operations by providing background research and investigation for medical professionals seeking to enroll in Medicare.
    5. Utilized several computer systems to investigate, verify, track, and process enrollment applications and assign Medicare PTANS.
    6. Resolved Medicare enrollment issues by following established departmental policies, procedures, operating memos, as well as corporate policies.
    7. Compared enrollment application data against other sources such as medical boards, OIG, EPPLS, NPPES, etc., as well as other records to evaluate completeness, accuracy, and validity of enrollment information provided.
    8. Interacted with providers and contact personnel by mail, e-mail, fax, and/or phone to complete background research and investigations.
    9. Performed various clerical and administrative functions such as filing, faxing, copying, and maintaining a number of system databases.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
GED


Enrollment Analyst Resume

Headline : Dynamic, results oriented human resources professional offering versatile experience in payroll, compensation, employee relations, recruitment, training and performance/career development. Proven track record in creating effective hiring strategies, creatively solving critical and complex employee issues and developing talent across all levels of an organization. Proven initiator and strategic thinker with effective communication, mentoring, leadership, organizational, and analytical skills.

Skills : Accounts Payable, Management Experience, Assisting Skills.

Description :

    1. Successfully managed/administered health insurance to over 100 client accounts.
    2. Appointed team lead for the commercial enrollment department.
    3. Supervised and mentored commercial enrollment staff including training.
    4. Daily monitored commercial enrollment department to ensure all enrollments and disenrollment's were processed in a timely manner.
    5. Prepared highly complex and confidential reports ensuring full compliance and tight deadlines.
    6. Diligently worked to recoup the health plan over $1Million dollars yearly by tracking, investigating, and updating Coordination of Benefits.
    7. Participated in the development of consistent, efficient, and cost-effective processes and procedures in support of planning and research for the enrollment department.
    8. Maintained personnel files to ensure compliance with HIPAA and corporate requirements.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
G.E.D


Enrollment Analyst Resume

Objective : Highly motivated managerial professional with experience and training in Customer relations Written, verbal, and interpersonal communication skills Completion of tasks in an independent setting. Initiative to lead in a team setting Microsoft office, Outlook and Adobe programming Excellent time management Attention to detail A sustained accuracy of 99%.

Skills : Excel, Organization, Healthcare, Billing, Account Management, Client Management, Microsoft Office Suite, Multi-Tasking.

Description :

    1. Handled Health Spending Account clients through the enrollment and contribution process.
    2. Facilitated the flow of cash from the client into member accounts.
    3. Provided reconciliations on all contributions passed.
    4. Handled contribution file formatting, and all client set-up calls.
    5. Performed basic accounting functions and handle account reconciliations.
    6. Found efficiencies within the process to enhance member experiences.
    7. Responsible for membership enrollment data with United Healthcare system Maintains and updates qualified employee healthcare benefits Terminates.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
G.E.D

Enrollment Analyst Resume

Objective : Enrollment Analyst with 2 years of experience in Researching different data sources to find correct information then performed analysis to determine the cause of the problems Escalated problems as needed.

Skills : Legal Research, Drafting Legal Documents , Microsoft Word, Interpersonal Skills.

Description :

    1. Responsible for verifying and reconciling the enrollment reports to make sure that everyone received coverage who was eligible.
    2. Ran numerous reports for the employer groups to keep the roster current and up to date.
    3. Worked in the Claims department verifying claims.
    4. Used electronic spreadsheets to keep daily records to assure accuracy in the memberships as well as scan all of the applications to have electronic records.
    5. Worked on the Amisys system as well as used a card machine to make ID cards for members.
    6. Performed data entry of personal information, demographics, and benefit allowances for member groups with 99% accuracy.
    7. Responsible for identifying, resolving, and documenting reconciliation discrepancies independently, processing refunds, request transfers of premium. 
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelor Degree

Enrollment Analyst Resume

Objective : Seeking an Enrollment Analyst position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.

Skills : Managing Skills, Problem Solving Skills, Customer Service.

Description :

    1. Evaluated and improved enrollment process including marketing, presentations, applications, and data analysis.
    2. Initiated and implemented strategies to significantly improve application completion reducing the return rate of incomplete applications by 85%.
    3. Trained marketing staff on the proper procedures and documentation for completing applications.
    4. Worked closely with Information Services and Marketing departments to develop and implement an automated quality assurance system for the monthly submission of enrollment.
    5. Maintained accurate and up-to-date demographic data on internal enrollment and the state system for Medicaid and Medicare Billing.
    6. Managed and organized all data files including proper filing and back-up in electronic and paper format.
    7. Reviewed Enrollment Policies and Procedures to ensure consistency with CarePlus and Department of Health guidelines.
    8. Provided assistance for the entire member enrollment process including marketing, application analysis, data management, and reporting.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelor Degree

Enrollment Analyst Resume

Objective : Enrollment Analyst with 3 years of experience in Performing and/or assist with the PCP changes due to Provider Terminations maximum Provider Panel Closings.

Skills : Microsoft Office, Researching Skills, Analyzing Skills.

Description :

    1. Coordinated with company HR departments and company liaisons to ensure benefit processing requirements were met.
    2. Analyzed information and resolved complex problems independently.
    3. Analyzed and resolved enrollment database and auditing system issues.
    4. Reviewed, researched, analyzed, and processed employee medical benefit enrollment applications for small businesses and corporations with over 10,000 employees.
    5. Received Key Player, Outstanding Achievement, and Employee of the Month Awards on four separate occasions as a result of achieving 100% accuracy in tasking and processing in a fast-paced and high volume environment.
    6. Verified information was inserted correctly into the system.
    7. Ensured all files are updated and accurate based on information provided by PEBA.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelor Degree

Enrollment Analyst Resume

Objective : Highly organized and efficient in fast-paced multitasking environments; able to prioritize effectively to accomplish objectives with creativity, enthusiasm and humor. Seeking a rewarding and challenging position which allows me to utilize my skills and advance my knowledge with experience to make a significant contribution.

Skills : Microsoft Excel, Leadership, Business Analysis, Researching Skills.

Description :

    1. Posted Acceptance decisions into Banner, and drop into the web.
    2. Generated Letters for Acceptance and Decline using Letter Gen (Word).
    3. Processed all changes in Banner such as change of Major, Campus, Attribute, Program, and Curriculum.
    4. Worked in a close team environment with admissions and advisors to assure a student enrollment process moves smoothly and swiftly.
    5. Responsible for the provider enrollment process to review, research, analyze, and process provider enrollment applications.
    6. Ensured provider file integrity and that suppliers are in compliance with established standards and guidelines.
    7. Researched, investigated, and analyzed support requests, finding solutions for routine and complex enrollment issues, identifying technical issues.
    8. Evaluated and tested possible solutions for system incidents, resolve ZenDesk Tickets (Service Requests), provide detailed documentation of the incident.
    9. Identified and corrected issues with electronic transfer systems (EDI files) with carriers.
    10. Researched and resolved eligibility inquiries and complaints; verified basic enrollment/eligibility information received through electronic mail.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelor Degree

Enrollment Analyst Resume

Objective : To obtain a Enrollment Analyst with 4 years of experience in Assisting Enrollment Manager with review of Enrollment desk level procedures and standard operating procedures and recommend updates to align with current processes and procedures.

Skills : Microsoft Office, EMR, Strong verbal and written communication, Typing 65 wpm, Medical Terminology, Medical Records, Medical Billing, Medicaid, Medical Coding, Customer Service .

Description :

    1. Credentialing and re-credentialing Enrollment Analyst Reviewed all initial provider applications for enrollment into the government program.
    2. Collected all documentation necessary to enroll physicians per CMS guidelines.
    3. Coordinated and implemented information received.
    4. Conducted background checks, reviewed medical experience, licensure, DEA and NPI's, NPPES e for enrollment.
    5. Investigated all negative information on physician's records.
    6. Kept detailed information on all transactions during the credentialing process.
    7. Used discretion, diplomacy, and confidentiality; staying within all HIPAA ad PHI guidelines.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Enrollment Analyst Resume

Objective : Over 2 years of experience in handling member enrollment written and verbal requests. Responsible for processing the enrollment applications and etc.

Skills : Microsoft Word, Communication Skills, Critical Thinking, Problem Solving Skills.

Description :

    1. Responsible to process all Medicare applications for ambulance providers, pharmacies, vaccination providers, and independent clinical laboratories in 5 states.
    2. Screened, researched, and verified information on providers' enrollment applications.
    3. Checked Sanction File, Debarment File, and Excluded Parties Listing to ensure the applicant is not excluded from the Medicare program.
    4. Communicated effectively through written and telephone correspondence with providers, CMS, and internal departments to resolve discrepancies, research, verify, and obtain additional information.
    5. Worked closely with upper management regarding timely, accurate processing of applications and training of new hires.
    6. Completed Emdeon systems with Payer Enrollment Implementations and Approvals.
    7. Certified Vendor Enrollment specialist for Vitera (formerly Medical Manager).
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelor Of Science

Enrollment Analyst Resume

Objective : As an Enrollment Analyst, responsible for Working on projects in voice & non voice environment as directed. Experience in Ensuring accurate resolution of transactions and process task as per SOP, etc.

Skills : Microsoft Office, Draft User Manuals Policies, Reports, Account Management, Database Management, Data Analysis, SQL, Accounts Receivable, Payroll.

Description :

    1. Responsible for assisting with processing new and existing member enrollment eligibility, which includes processing daily applications, disenrollment, member plan transfers, address changes, return mail, premium withholds, power of attorney, and other member eligibility requests.
    2. Reviewed and provided customer service assistance with resolves member inquiries.
    3. Processed the weekly transaction reply maintenance queues, including demographic corrections.
    4. Ensured all enrollment eligibility is processed and maintained in accordance with company, CMS, SOX, HIPAA, Internal Audits, departmental guidelines, requirements, regulation, policies, and procedures.
    5. Screened contracts for enrollment Assisting the provider with completing the contracts Screening for sanctioned providers Verify documents.
    6. Assisted with members and providers with routine Medicaid/Medicare inquiries including verifying eligibility, explanation of benefits, and claims.
    7. Ensured all HIPAA and State requirements/regulations adhere too at all times.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
G.E.D