Senior BPM Associate (Healthcare Enrollment)

Role DescriptionLog into System daily to access inquiriesLog into Client Letter or Sharepoint daily to access lettersLog into several applications to obtain the information needed to complete the inquiryWork in assigned queues, documenting and closing all completed inquiries, then completing letter to member documenting work completedWork professionally as a liaison with all levels of management and departments, i.e., Enrollment, Billing, Appeals, Claims, Brokers, Account Executives, LiveThere are 2 main types of inquiries/requests: Privacy Documents, and Written CorrespondenceValidate HIPAA documents.Upload documents to system and send a valid or invalid letter to the member. Validation ensures that the forms are completed correctly and that it is legal for our reps to speak to parties other than our members.Send written Correspondence, ad hoc letters, blank forms/applications, duplicate tax or claim information to members, in response to their questions/requestsMay need to locate the requested information from accessing 1 or multiple systemsAccumulation letters, exhaust lettersProvide information for the foreign travel lettersConfirm premium information and validate effective dates, etcProcess HIPAA forms, go through validation, send appropriate lettersFollow up with other departments by phone or email for additional information, as neededWork priority requests, as assignedAll documented actions and must be completed the same day, i.e. fax, mail, email, route to another areaOther duties as assigned.QualificationsEducationHigh School Diploma or College Degree preferredExperienceMinimum 3 years of experience in the health insurance industry with a combined focus on production and quality. College degree in lieu of experience will be considered.Knowledge, Skills, AbilitiesDemonstrated ability to deal effectively with others and have a willingness to be a team playerDemonstrated ability to communicate via emailFamiliarity with data processing and the ability to work with documented policies and proceduresHealth Rules, Excel, Word, SharePoint, and any other system that logs productivity and triages workflowSkillsHealth Insurance,Data Processing,computer knowledge