Senior Enrollment Specialist

Senior Enrollment Specialist

locations

Home

time type

Full time

job requisition id

R-13022

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Senior Enrollment Specialist

Job Description

• Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.  
• Communicates with appropriate contacts on eligibility issues and questions.  
• Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.  
• Proficient use of enrollment and claims point of sale for research and problem resolution.
• Assists in data collection and reporting.  
• Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
• Assists with quality monitoring and provides constructive feedback.
• Reviews production reports, identifies issues and recommends resolutions; continually seeks to improve processes and increase efficiencies.
• Assists in data collection and reporting.
• Other special projects as required by management.

Potential pay for this position ranges from $21.15 - $31.73 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.