Job Details

In addition to the Enrollment Specialist duties, the Enrollment Unit Lead (EUL) provides assistance to team members as well as the Enrollment Unit Supervisor. The EUL provides subject matter expertise and serves as an escalation point for Enrollment Specialists, assisting with complex member and provider issues as they occur. Responsibilities Responds to member and provider calls in a courteous and professional manner, answering questions and inquiries regarding membership, eligibility, benefits, claims, policies and procedures. Completes forms and other paperwork. Educates members and providers on the guidelines and policies of PHC - Assesses and resolves problems within scope of authority; escalates unusual questions or problems to higher authority levels. Assists with development of training agendas and materials, provides training and guidance to Enrollment staff. Assists with the development of processes and operational memos and policies. Conducts monthly audits and call monitori...Enrollment, Representative, Customer Service, Lead, Monitoring, Member Service, Healthcare, Education