Enrollment Specialist Resume Samples

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Enrollment Specialists work in the healthcare, social service, or educational industry and are responsible for helping people to get enrolled in various programs. Essential job duties highlighted on an Enrollment Specialist resume sample are answering to questions from individuals, selling services, taking incoming phone calls, solving issues of dissatisfied individuals, and reporting to supervisors. Based on our collection of resumes in the field, the most sought-after job assets are knowledge of specific programs, patience, customer service, accuracy, confidentiality, computer competences, and conflict resolution. Most Enrollment Specialists have completed postsecondary coursework in customer service.

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1

Provider Enrollment Specialist

Processed, verified, and validated Texas Medicaid applications for all providers across the State of Texas

  • Operated with an extreme level of accuracy while consistently maintaining a 98% quality score of all completed applications
  • Analyzed all required documentation from providers for successful enrollment into the Medicaid programs: Traditional Medicaid, Texas Health Steps Medical and Dental, and the Children with Special Healthcare Needs Services Program
  • Identified mistakes, omitted information, and missing forms and attachments and relayed the information to the provider and/or the provider's representative to ensure timely completion
  • Conducted preliminary background checks to be verified against any exclusion lists for non-participation into Federal and State programs prior to enrollment
Candidate Info
16
years in
workforce
10
months
at this job
AS
Associate of Science
BS
Health Care Administration And Management
Medical Insurance Billing And Coding
2

Provider Enrollment Specialist

Responsible for enrolling and credentialing Providers into Texas Medicaid

  • Established relationships with Providers offices to ensure proper handling of documentation
  • Provided follow through with Office Staff to ensure fast and proper handling/processing application
  • Trained and Monitored new staff for quality and professionalism
Candidate Info
11
years in
workforce
7
months
at this job
3

Provider Enrollment Specialist

  • Organized provider files and performed desk reviews of Medicare applications in accordance with standard operating procedures to ensure all documentation is enclosed to meet Medicare laws and regulations for providers to receive Medicare reimbursement
  • Monitored the timeliness of each application type to ensure objectives are met in accordance to the Centers for Medicare and Medicaid Services guidelines
  • Reviewed and validated each application in its entirety for accuracy and completeness for Medicare auditing
  • Utilized various Medicare systems and databases, in addition to the Internet, to research and validate information and enter into various Medicare enrollment databases
  • Communicated with providers throughout the Medicare enrollment process
  • Reported any anomalies associated with compliance in applications that would not be acceptable based on Medicare laws and regulation
Candidate Info
8
years in
workforce
5
months
at this job
AAS
Microcomputer Systems Technology
BA
English
Graphic Design
4

Enrollment Specialist/ Data Entry

  • Assisted with reporting monitoring and general quality assurance.
  • Oversaw member information reconciliation procedures and paperwork.
  • Researched and resolved discrepancies in enrollment activities.
  • Handled and evaluated customer inquiries and complaints.
  • Ensured integrity of enrollment eligibility processes.
Candidate Info
18
years in
workforce
5
months
at this job
5

Enrollment Specialist

  • Assist clients with the on-line submission of SNAP and Medicaid applications.
  • Provide case management to reach desired outcome for client.
  • Increase productivity by creating fun team environment that brings the feel of unity and empowerment.
  • Follows up with clients in an efficient and timely manner.
  • Coordinated and launched the texting Platform for [company name] info line from inception 8% of reply rate of text to 38% reply rate in 3 months and growing.
  • Created waitlist that helped assist clients in need of immediate assistance.
Candidate Info
15
years in
workforce
2
years
at this job
Travel And Tourism
Business
6

Enrollment Specialist

  • Recruited, enrolled, and helped 6 individuals start classes within my first two weeks
  • Represents [company name] at career fairs to recruit students
  • Initiated the development for obtaining documents for students' acceptance
Candidate Info
10
years in
workforce
4
months
at this job
MS
Geography And Regional Planning
7

Enrollment Specialist

Responsibilities are to recruit and interview potential students and to convert those first contacts into future starts by introducing programs to potential students.

  • 25% of my future starts come from PDR’s
  • Maintained a 90-100% show rate since 2012
  • Consistently achieve start goals
Candidate Info
18
years in
workforce
2
years
at this job
HS
High School Diploma
Business
8

Sales and Enrollment Specialist, Corporate Call Center

  • Completed online medicare supplement applications for enrollees.
  • Provided detailed explanation of coverage benefits and provisions.
  • Ensured accurate documentation and plan selection.
  • Obtained Health license April 2014.
Candidate Info
9
years in
workforce
1
year
at this job
HS
High School Diploma
9

Enrollment Specialist/process Auditor/administrative Assistant

  • Assisted with processing off exchange applications for new enrollees and conversion applications via SharePoint and CEAC.
  • Tracked and sent all consumer payments to billing and enrollment to be accurately reflected on customer accounts on- exchange and off- change.
  • Abided by HIPAA requirements and standards by ensuring and protecting consumers' confidential, identifiable, and professional information to third parties.
  • Supervised and audited consumer applications for accuracy in order to expedite to the outsourcing team for processing.
  • Maintained expertise in eligibility, enrollment and program specifications of the Federal Marketplace and other individual healthcare plans in order to assist consumers in selecting the most viable coverage.
Candidate Info
16
years in
workforce
6
years
at this job
HS
Additional
10

Enrollment Specialist

  • Assisted with the preparation of collateral materials for several student orientations, information meetings, and job fairs as needed.
  • Competently conducted the activities necessary for proper recruitment of undergraduate and graduate students, following established guidelines and standards.
  • Conducted student appointments to disseminate course and program information to new or potential students.
  • Assisted in the compilation and preparation of student admission files prior to submission to the partner university’s academic advisement department.
Candidate Info
8
years in
workforce
1
year
at this job
HS
High School Diploma
Liberal Studies

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