JOB TITLE: Health Plan Enrollment Representative
CONTRACT DURATION: 1 year
SHIFT: Varying Days/Schedules
LOCATION: Sacramento, CA 95833
Job Overview:
As the Health Plan Enrollment Rep you will travel onsite to employee events and assist with member enrollment. The ideal candidate has experience with health plan enrollment, eligibility, and insurance operations and thrives in a fast-paced, deadline-driven environment.
Required Qualifications:
- High school diploma or GED required.
- 2+ years of health plan enrollment, eligibility, insurance or healthcare operations experience.
- Experience processing member enrollments, eligibility, and demographic updates.
- Experience verifying eligibility and resolving enrollment discrepancies.
Key Responsibilities
- Travel to local employee events.
- Process member and group enrollments, terminations, and eligibility updates.
- Update demographic information, PCP assignments, and enrollment records.
- Verify member eligibility and resolve enrollment discrepancies.
- Process retroactive eligibility changes and maintain accurate enrollment data.
- Review enrollment files for completeness and accuracy before system uploads.
- Respond to eligibility inquiries and coordinate with brokers, customers, vendors, and internal teams.
- Generate member correspondence and process duplicate ID card requests.
- Perform data validation, audits, and inventory control activities.
- Maintain PHI confidentiality and comply with regulatory and quality standards.
- Support open enrollment and annual enrollment activities.
AYA DELIVERS…
- A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
- And of course, you get the usual benefits such as:
- Premium medical, dental, vision and life insurance beginning day one of your assignment.
Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!
Pay: $25.00 - $28.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Application Question(s):
- This position requires a 10-panel drug screen, lifetime federal and state criminal background check, and immunization records for HepB, HepC, MMR, and Varicella. Are you comfortable completing all these items?
- Have you processed member enrollments, terminations, eligibility updates, or demographic changes?
- Do you have experience working with protected health information (PHI) and maintaining confidentiality?
- This position requires schedule flexibility and will not be guaranteed 40 hours a week. Are you comfortable with a flexing schedule?
Education:
- High school or equivalent (Required)
Experience:
- Benefits administration: 2 years (Required)
Work Location: In person
