Enrollment Specialist

Profile Summary

The Enrollment Specialist plays a key role in member engagement by conducting outbound outreach, following up on referrals, and supporting overall engagement efforts. The role also provides after-hours hospital intake support as needed. As a communication-heavy and relationship-driven position, it requires strong interpersonal skills, professionalism, and the ability to build rapport with members while ensuring a smooth and positive enrollment experience.

Job Details

Work Set-up: Onsite

Schedule: Monday to Friday, 11:00 PM to 8:00 AM

Holidays to follow: US Holidays

Key Responsibilities

• Process member enrollments, updates, and eligibility checks across insurance and healthcare systems.
• Conduct outbound and inbound member outreach to clarify enrollment information or address missing requirements.
• Review and verify member documentation for accuracy, completeness, and compliance.
• Update internal systems with enrollment decisions, status updates, and follow-up notes.
• Support referral and care coordination teams by providing accurate member data.
• Communicate professionally with members to ensure a clear understanding of enrollment steps, benefits, and next actions.
• Maintain high documentation quality, ensuring all interactions and records are detailed and accurate.
• Uphold workflow consistency by adhering to established operating procedures.
• Assist with after-hours or overflow operational continuity when needed.

Qualifications

• Preferred experience in healthcare call centers, member services, patient scheduling, or enrollment support roles.
• Excellent verbal communication skills with the ability to sound professional, clear, and confident during member interactions.
• Strong interpersonal skills with a natural sense of empathy, patience, and warmth when engaging with members.
• High emotional intelligence with the ability to adjust tone and approach based on conversation flow and member needs.
• Strong active listening skills, with the ability to understand concerns and respond appropriately and effectively.
• Ability to build trust and rapport quickly in a communication-heavy, relationship-driven environment.
• High attention to detail and accuracy when working with member information and eligibility documents.
• Proficiency with enrollment platforms, insurance portals, or medical information systems is beneficial.
• Ability to manage multiple cases and follow structured workflows efficiently.
• Professional, organized, and comfortable working in a service-oriented environment.