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Enrollment representative skills for your resume and career

15 enrollment representative skills for your resume and career
1. Home Health
- Processed Medicare applications for hospitals, skilled nursing facilities, hospices and home health agencies.
- Research and compared hospitals, home health agencies, and nursing homes for existing beneficiaries.
2. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Utilized critical thinking and problem-solving skills to address and resolve customer issues and ensure a positive experience with exceptional customer service.
- Provided excellent customer service to all hospital, facility, and group contacts on credentialing guidelines and required documentation.
3. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Updated personal information in the system; performed data entry according to aggressive productivity standards.
- Created and implemented a reference guide/cheat sheet for data entry operations.
4. Patients
- Performed insurance/billing clerical duties, including reviewing and verifying patients account information against insurance program specifications.
- Take a high volume of inbound calls, to assist patients with the card activation of their prescription discount cards.
5. CMS
A Content Management System or CMS is computer software that works as a framework where content can be assembled and managed by using a database. CMS is an important asset in web development. This platform enables users to create, edit, collaborate on, publish and store digital content. It helps users to manage their content and modify it from a single system.
- Improved timeliness standards within the CMS established protocol and procedures resulting in the exceeding of departmental standard for data accuracy.
- Initiated and triggered exhibits/correspondence to new and existing membership to comply with CMS guidelines.
6. Enrollment Process
- Collected proper documents to complete enrollment process Scanned and enter necessary info for state and federal completion of application.
- Managed the enrollment processes for client employer, including determining eligibility, enrolling members and maintaining membership files.
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- Reconciled eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes.
8. Health Insurance
- Determined eligibility for enrollment of health insurance and processed corresponding applications into the company information system.
- Processed applications and responsible in approving/denying applications for proper health insurance
9. Member Correspondence
- Prepared, processed, and maintained new member or group enrollments working with various types of member correspondence.
- Work with various type of member correspondence.
10. Enrollment Applications
- Reviewed applications for completeness and entered enrollment applications in MHS system in accordance with department's monthly reconciliation calendar.
- Interpreted and processed manual enrollment transactions received from multiple sources and in varied formats including reports and enrollment applications.
11. Financial Obligations
- Assisted potential and/or current students in understanding their financial obligations & appropriate timing obligations in line with program commitments.
- Provided students with ethical, timely and accurate educational program information including review of financial obligations.
12. Outbound Calls
An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.
- Dial America is a telemarketing company that takes inbound and outbound calls for different clients including Life Lock.
- Handled inbound and outbound calls, followed up with customer questions, and resolved customer complaints.
13. Member Eligibility
- Researched and reconciled member eligibility discrepancies identified via the daily Warnings and Errors Report and the Reconciliations Report.
- Assisted member service department with any member eligibility and/or enrollment status questions.
14. Medicare Advantage
- Verify that all eligibility requirements are met prior to entering applications and billing data in BCBS Medicare Advantage enrollment system.
- Reviewed and enrolled eligible individuals in the Medicare Advantage plan and entered information into the market Prominence System.
15. Financial Aid
Financial aid refers to cash released to an educational institution to help a student pay the school fee. The issuance of financial aid, whether scholarships, grants, or loans, aims to make access to education affordable to all students irrespective of their backgrounds.
- Assist students in completing program applications and financial aid applications; process all necessary applications and supporting documents for admissions.
- Processed student drop requests and university withdrawals in accordance with university policy and federal financial aid regulations.
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List of enrollment representative skills to add to your resume

The most important skills for an enrollment representative resume and required skills for an enrollment representative to have include:
- Home Health
- Customer Service
- Data Entry
- Patients
- CMS
- Enrollment Process
- Transactional Data
- Health Insurance
- Member Correspondence
- Enrollment Applications
- Financial Obligations
- Outbound Calls
- Member Eligibility
- Medicare Advantage
- Financial Aid
- Group Data
- PCP
- Inbound Calls
- HIPAA
- Health Plan
- Customer Inquiries
- Group Enrollments
- Family Health
- CHP
- Enrollment Issues
- Open Enrollment
- Enrollment System
- Enrollment Database
- Educational Programs
- Professional Knowledge
- Call Tracking
- Facets
- Hippa
- Plan Changes
- Tricare
- Cobra
- Student Appointments
- Insurance Applications
- Student Issues
- Billing Issues
- Admissions Process
- HMO
- Enrollment Forms
- Student Retention
- Professional Rapport
- Federal Regulations
Updated January 8, 2025