Job Title: Enrollment Processor
Job Description

As an Enrollment Processor, you will manage small to medium employer groups and individual accounts, focusing on member eligibility, enrollment, system configuration, premium billing, and payment reconciliation. You will also provide customer service in these areas, ensuring compliance with state and federal regulations. By researching, investigating, and resolving member and employer issues, you will play a crucial role in maintaining high levels of customer satisfaction. You will collaborate with other departments to address concerns, develop procedures, and stay informed about regulatory changes.

ResponsibilitiesManage member eligibility, enrollment, system configuration, premium billing, and payment reconciliation for small to medium employer groups and individual accounts.Provide exceptional customer service regarding member eligibility, premium billing, payments reconciliation, and adherence to state and federal regulations.Research, investigate, and resolve member and employer issues, taking initiative to propose solutions.Collaborate with other departments and teams to address concerns or complaints.Assist in developing and refining procedures.Develop industry knowledge and stay informed about regulatory changes.Receive applications for enrollment or changes, verify information, and process enrollments and disenrollments, including plan and address changes.Make some outbound calls to confirm changes.Work with the CSR team to resolve issues.Handle various types of reporting.Enter and manage member communications.Post premium billing.Essential SkillsAt least 1 year of experience in a customer service environment or health insurance setting.Experience in medical billing, claims resolution, health insurance, Medicare, and insurance verification.Bilingual proficiency in English and Spanish is highly preferred.Additional Skills & QualificationsBilingual Spanish is a must-have.Data entry skills.General knowledge of health insurance and Medicare.Some customer service experience.Understanding of Microsoft Suite and Google Docs.Medicare experience is a nice-to-have.Work Environment

This is a remote position, with a preference for local candidates. Flexible working hours are available, but you must be available from 10am-3pm, with occasional requirements to work until 5pm. The company provides all necessary equipment for remote work. This is not a call center role; it involves significant data entry, requiring strong attention to detail due to the highly regulated nature of Medicare. The work environment encourages confidence, inquisitiveness, and a proactive approach to problem-solving.

Pay and Benefits

The pay range for this position is $21.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 29, 2025.

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\n\nAbout Aston Carter:\n

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

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The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.

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