How To Become An Enrollment Representative: What It Is and Career Path

What is an enrollment representative and how to become one

Updated January 8, 2025

4 min read

An enrollment representative serves as a primary point of contact between providers and payers for enrollment inquiries. His/Her duties vary by industry of employment. However, he/she helps enrollees understand the program requirements and rules, contacting enrollees to keep them updated. He/She gathers, screens, and processes enrollment applications. Also, he/she answers inquiries and addresses enrollment issues. Besides that, he/she collects payment when necessary. Additionally, he/she follows the departmental standard for data entry and performs clerical duties such as updating databases and maintaining records.

The educational requirements for this role can vary by employers. Some only require a high school diploma or its equivalent, but others prefer an associate's or a bachelor's degree in a related field. You must possess interpersonal, teamwork, attention to detail, organization, multitasking, and communications skills. You must be proficient in Microsoft Office. Enrollment representatives earn about $47,258 in a year. Their salary falls between $34,000 and $66,000.

ScoreEnrollment RepresentativeUS Average

Salary

2.5

Avg. Salary $31,463

Avg. Salary $59,228

Stability level

5.9

Growth rate -4%

Growth rate 0.3%

Diversity

9.2

Race

American Indian and Alaska Native 0.73%

Asian 6.65%

Black or African American 9.57%

Hispanic or Latino 21.76%

Unknown 5.42%

White 55.87%

Gender

female 70.93%

male 29.07%

Age - 39

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 39

Stress level

5.9

Stress level is manageable

7.1 - high

Complexity level

6.6

Complexity level is challenging

7 - challenging

Work life balance

6.5

Work life balance is good

6.4 - fair

Key steps to become an enrollment representative

Explore enrollment representative education requirements

Most common enrollment representative degrees

Bachelor's

52.1 %

Associate

18.0 %

High School Diploma

10.1 %

Start to develop specific enrollment representative skills

Skills	Percentages
Home Health	22.41%
Customer Service	17.70%
Data Entry	9.80%
Patients	5.80%
CMS	4.47%

Complete relevant enrollment representative training and internships

Accountants spend an average of 6-12 months on post-employment, on-the-job training. New enrollment representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as an enrollment representative based on U.S. Bureau of Labor Statistics data and data from real enrollment representative resumes.

Research enrollment representative duties and responsibilities

Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
Audit all tickets for proper labs, correct ICD-9 coding and CPT coding.
Learned ICD-9 codes and medical billing to insure prompt and accurate processing of claims.
Resolve claims by verifying CPT and ICD-9 coding and the expected reimbursement per contractual agreements with varying insurance providers.

Prepare your enrollment representative resume

When your background is strong enough, you can start writing your enrollment representative resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on an enrollment representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable enrollment representative resume templates

Build a professional enrollment representative resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your enrollment representative resume.