An Enrollment Analyst processes manual hard copy enrollment requests efficiently and accurately. Major duties and responsibilities that are listed on the Enrollment Analyst Resume are – processing hard copy enrollment forms; consistently achieving key internals concerning cycle time, quality, and production; working with supervisor and co-workers to provide strong customer service; driving key performance indications, consistently meeting or crossing targets; and working with supervisors to develop self-remediation plans.
The most sought-after skills for the post include the following – data entry skills; enrollment processing knowledge; the ability to read and interpret handwritten forms; working knowledge of interface systems including the claims systems and file bound; working knowledge of software programs; strong customer service focus; and advanced MS Excel. A high school diploma or GED is mandatory.
Objective : Dedicated Enrollment Analyst with 2 years of experience in optimizing enrollment processes and analyzing data to enhance accuracy and efficiency. Skilled in investigating discrepancies, managing member communications, and ensuring compliance with regulations. Committed to delivering exceptional service while implementing solutions that drive operational excellence.
Skills : Data Management, Attention To Detail, Enrollment Management, Problem Solving
Description :
Provided support in a dynamic team environment, adapting to changing enrollment requirements.
Acquired in-depth knowledge of provider arrangements, ensuring accurate data entry into systems.
Completed credentialing processes for healthcare providers to maintain compliance.
Conducted thorough research for medical professionals seeking Medicare enrollment.
Utilized multiple databases for tracking and processing enrollment applications efficiently.
Resolved enrollment-related issues in accordance with established policies and guidelines.
Verified enrollment data against external sources to ensure accuracy and validity.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Admin.
Claims Enrollment Analyst
Resume
Objective : Accomplished Claims Enrollment Analyst with 5 years of expertise in streamlining enrollment processes and conducting thorough data analysis to ensure accuracy and compliance. Proficient in resolving discrepancies, managing client communications, and enhancing operational efficiency. Driven to provide exceptional service while implementing strategic solutions that improve enrollment outcomes.
Skills : Claims Processing, Data Visualization, Project Management, Technical Proficiency, Research Skills
Description :
Successfully managed health insurance enrollment for over 100 client accounts, ensuring compliance with regulations.
Led the commercial enrollment department, supervising a team and enhancing workflow efficiency.
Trained and mentored staff in enrollment processes, improving team performance and accuracy.
Monitored enrollment activities daily to ensure timely processing of all applications and disenrollments.
Prepared complex reports, ensuring compliance with regulatory requirements and tight deadlines.
Recouped over $1 million annually by effectively tracking and updating Coordination of Benefits.
Contributed to the development of efficient processes supporting enrollment planning and research.
Experience
2-5 Years
Level
Junior
Education
B.S. in HA
Enrollment Analyst Resume
Headline : Experienced Enrollment Analyst with over 7 years in streamlining enrollment processes, enhancing data accuracy, and ensuring regulatory compliance. Proficient in analyzing discrepancies and improving member experiences through effective communication. Eager to leverage expertise in data management and operational solutions to drive enrollment success and organizational efficiency.
Managed Health Spending Account clients through the entire enrollment and contribution process, ensuring accuracy and compliance.
Facilitated seamless cash flow from clients into member accounts, enhancing overall member experience.
Conducted reconciliations on all contributions, ensuring financial accuracy.
Formatted contribution files and coordinated client setup calls to streamline enrollment.
Analyzed enrollment data to identify trends and improve recruitment strategies.
Identified and implemented process efficiencies, significantly improving member satisfaction.
Maintained and updated membership enrollment data within the United Healthcare system, ensuring timely terminations and compliance.
Experience
5-7 Years
Level
Senior
Education
B.S. in BA
Provider Enrollment Analyst
Resume
Summary : Proactive Provider Enrollment Analyst with a decade of experience in optimizing enrollment processes and ensuring compliance with healthcare regulations. Adept at analyzing complex data sets to identify discrepancies and streamline member communications. Passionate about enhancing operational efficiency and delivering exceptional service to improve enrollment outcomes.
Ensured accuracy in enrollment reports by verifying and reconciling data, maintaining compliance with eligibility requirements.
Generated and maintained up-to-date reports for employer groups, enhancing roster accuracy.
Collaborated with the Claims department to verify and resolve claims discrepancies.
Utilized electronic spreadsheets for daily record-keeping, ensuring data integrity in membership applications.
Operated the Amisys system to produce ID cards for members, enhancing member accessibility.
Conducted data entry for personal information and demographics, achieving a 99% accuracy rate.
Identified and resolved discrepancies independently, processing refunds and premium transfers efficiently.
Experience
7-10 Years
Level
Management
Education
B.S. Health Admin
Enrollment Analyst Resume
Summary : Enrollment Analyst with a decade of experience optimizing complex enrollment processes and enhancing data integrity. Expertise in analyzing discrepancies, managing stakeholder communications, and ensuring regulatory compliance. Committed to leveraging data-driven insights to improve operational efficiency and deliver exceptional service in enrollment management.
Skills : Event Planning, Analytical Problem Solving, Quality Assurance, Technical Writing, Training And Development, Policy Development
Description :
Evaluated and enhanced enrollment processes through data analysis, marketing strategies, and application management.
Implemented strategies that increased application completion rates by 85%, significantly reducing incomplete submissions.
Trained marketing staff on proper application procedures, ensuring adherence to compliance standards.
Collaborated with IT and Marketing to create an automated quality assurance system for monthly enrollment submissions.
Maintained up-to-date demographic data for Medicaid and Medicare billing, ensuring accuracy and compliance.
Organized and managed data files, ensuring efficient filing and backup practices for both electronic and paper records.
Utilized data analytics tools to assess enrollment performance metrics.
Experience
10+ Years
Level
Executive
Education
B.S.B.A.
Research Enrollment Analyst
Resume
Objective : Analytical professional with 5 years of experience in research enrollment processes, focusing on data integrity and compliance. Expertise in resolving discrepancies, managing communications, and enhancing operational workflows. Passionate about driving enrollment success through strategic insights and exceptional service.
Skills : Data Analysis Software, Data Collection And Analysis, Team Collaboration, Statistical Analysis
Description :
Collaborated with HR and stakeholders to meet enrollment processing requirements and ensure compliance.
Identified and resolved complex data discrepancies to enhance system accuracy.
Managed and processed medical benefit enrollment applications for organizations with over 10,000 employees.
Recognized as Employee of the Month multiple times for achieving 100% accuracy in a high-volume environment.
Maintained updated records in compliance with regulations and company policies.
Conducted regular audits of enrollment databases to ensure data integrity.
Provided exceptional support to members through effective communication and problem resolution.
Experience
2-5 Years
Level
Consultant
Education
B.S. in HCA
Enrollment Analyst Resume
Objective : Accomplished Enrollment Analyst with 2 years of experience dedicated to enhancing enrollment processes and ensuring data integrity. Proficient in analyzing enrollment data, resolving discrepancies, and facilitating effective communication with stakeholders. Passionate about improving operational efficiency and delivering outstanding service to enhance the overall enrollment experience.
Skills : Client Relations, Financial Analysis, Process Improvement, Software Proficiency, Data Entry, Survey Analysis
Description :
Posted acceptance decisions into the enrollment system and updated the website accordingly.
Generated acceptance and decline letters using automated templates for consistency.
Processed changes in enrollment details such as major, campus, and program adjustments.
Collaborated with admissions and advisors to ensure a seamless enrollment process for students.
Managed the provider enrollment process, ensuring compliance with established guidelines.
Maintained the integrity of provider files and verified compliance with enrollment standards.
Analyzed support requests, identifying solutions for complex enrollment issues and technical problems.
Experience
0-2 Years
Level
Fresher
Education
B.S. in BA
Senior Enrollment Analyst Resume
Headline : Results-oriented Senior Enrollment Analyst with 7 years of experience in enhancing enrollment workflows and ensuring regulatory compliance. Proven expertise in data analysis, discrepancy resolution, and stakeholder communication. Focused on implementing strategic solutions that optimize enrollment processes and drive organizational success while maintaining high standards of service.
Skills : Data Analysis Tools, Healthcare Data Management, Effective Communication Strategies, Data Entry Proficiency, Healthcare Compliance Knowledge, Record Management Systems
Description :
Reviewed and analyzed provider applications for enrollment, ensuring adherence to CMS guidelines.
Gathered and verified documentation required for physician enrollment, enhancing compliance accuracy.
Facilitated effective communication between stakeholders and enrollment teams, improving operational workflows.
Conducted thorough background checks and assessments of medical credentials for enrollment decisions.
Maintained meticulous records of all transactions throughout the credentialing process, ensuring data integrity.
Utilized discretion and confidentiality in compliance with HIPAA and PHI regulations.
Collaborated with cross-functional teams to optimize enrollment procedures and improve service delivery.
Experience
5-7 Years
Level
Senior
Education
B.S. in HA
Enrollment Analyst Resume
Objective : Results-oriented Enrollment Analyst with 5 years of experience in optimizing enrollment workflows and enhancing data accuracy. Expertise in managing discrepancies, ensuring compliance, and fostering effective communication with stakeholders. Eager to leverage analytical skills to implement strategic solutions that improve enrollment effectiveness and deliver exceptional service.
Processed Medicare applications for providers across multiple states, ensuring compliance with federal regulations.
Conducted thorough verification of provider enrollment applications, enhancing data integrity.
Reviewed sanction and exclusion listings to ensure applicants met Medicare requirements.
Facilitated effective communication with stakeholders to resolve enrollment discrepancies and gather additional information.
Collaborated with management to ensure timely processing of applications and provided training for new hires.
Utilized Emdeon systems for Payer Enrollment Implementations and Approvals.
Certified Vendor Enrollment Specialist, successfully managing vendor relationships and compliance.
Experience
2-5 Years
Level
Junior
Education
B.S. in HA
Enrollment Analyst Resume
Summary : Accomplished Enrollment Analyst with a decade of experience in optimizing enrollment systems and ensuring compliance with regulatory standards. Proven ability to analyze data for accuracy, resolve discrepancies, and enhance member communication. Dedicated to driving operational efficiency and delivering exceptional service to improve enrollment outcomes across diverse populations.
Skills : Process Documentation, Reporting Skills, Program Evaluation, Communication Skills, Critical Thinking
Description :
Managed processing of member enrollment eligibility, including daily applications, disenrollments, and address changes.
Provided exemplary customer service by resolving member inquiries effectively.
Processed maintenance queues for demographic corrections, ensuring data accuracy.
Ensured compliance with company policies, CMS regulations, and HIPAA standards during enrollment processes.
Reviewed and verified provider contracts for enrollment, ensuring accuracy and compliance.
Assisted members and providers with routine inquiries regarding Medicaid and Medicare eligibility.
Maintained adherence to HIPAA and state regulations at all times.
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