Enrollment specialist vs benefits assistant

Differences between enrollment specialist and benefits assistant duties and responsibilities

Enrollment specialist example responsibilities.

• Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
• Manage customer relations with internal personnel, group administrators, brokers and members as related to HMO commercial insurance.
• Maintain records pertaining to eligibility and enrollment by managing CMS reports.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
• Assist medical assistance consumers with choosing HMO's and PCP as well as with HMO and PCP transfers.
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Benefits assistant example responsibilities.

• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Audit HIPAA and outgoing correspondence.
• Maintain strict confidentiality, observing HIPAA and other policies and guidelines.
• Post patient payments, verify insurance coverage for new and Medicaid patients.
• Provide information, education and assistance to clients regarding Medicare and Medicaid by phone and in person.
• Audit, correct and record all attendance records, vacation records, vacation carryover and vacation/sick accruals.
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