Enrollment Specialist Resume Sample
Tillman Lubowitz
6126 Dock Isle,
Boston,
MA
+1 (555) 105 3297
Work Experience
Enrollment Specialist
06/2016
-
PRESENT
Philadelphia, PA
- Build Humana’s brand image with employers, members, brokers, consultants, physicians, hospitals, regulators and legislators by providing effective and efficient service
- Follows-up on student progress; provide support in coordination with the center’s AWOL retrieval
- Communicating effectively verbally and in writing with all levels of Center staff and students
- Maintaining confidentiality and display ethical behavior
- Working as a member of a team and provide leadership to a diverse group of staff working towards a common goal
- Developing rapport and positive working relationships with all departments
- Successfully complete all mandated training requirements per government and management directives
- Answer patients and their families’ questions on benefits of the program and the enrollment process
Claims Enrollment Specialist
07/2011
-
01/2016
Dallas, TX
- Licensed Health and Life agent
- Assures accuracy in eligibility and enrollment processing and makes decisions in the best interest of protecting the integrity of the client’s business needs
- Direct liaison between Broker Community, Small Business Owners, and internal Tech Team to process enrollments relating to Website functionality usability
- Conduct home visit(s) to educate applicant, family and/or applicant’s caregiver(s) on program benefits and design
- Identify applicant’s health needs and complete medical assessment of applicant
- Functional - Customer Service - Customer service - production environment/1-3 Years
- Functional - Customer Service - Customer Service - Plan Sponsor - Enrollment - HMO/1-3 Years
- Functional - Customer Service - Customer Service - Plan Sponsor - Enrollment - Traditional/1-3 Years
- Functional - Communications - Member communications/1-3 Years
Lead Enrollment Specialist
02/2005
-
06/2011
Chicago, IL
- Technical - Desktop Tools - Microsoft Word/1-3 Years/End User
- Technical - Desktop Tools - TE Microsoft Excel/1-3 Years/End User
- Technical - Desktop Tools - Microsoft Outlook/1-3 Years/End User
- Licensed Health and Life agent or actively pursuing appropriate licenses
- Carry a full load of group enrollment changes. Can be assigned to more complex accounts
- Review benefit set up to ensure that the billing is correct. Monitor guarantee-issue rules and notify Medical Underwriting to communicate with insured members when EOI is required
- Provide customer service to internal and external customers by supplying information through written correspondence and responding to telephone inquiries
Education
University of Phoenix - Henderson Learning Center
2000 - 2004
School's Degree in Human Services
Professional Skills
- Accountable for meeting or exceeding divisional and/or corporate Enrollment performance standards and meeting time-sensitive deadlines as defined. Update status of application in system data bases and in excel reports for accurate reporting
- Excellent written and oral skills; proven customer service skills; and accurate documentation skills
- Possess excellent oral, written, and interpersonal communication skills, including composition, grammar, punctuation, spelling, editing and proofreading skills
- Demonstrated strong organizational skills and attention to detail; ability to resolve conflicts and problem solve
- Demonstrated excellent communication skills in a diverse team environment
- Demonstrate strong organizational skills, flexibility and the ability to work with minimal supervision
- Strong data entry and documentation skills
How to write Enrollment Specialist Resume
Enrollment Specialist role is responsible for customer, computer, microsoft, basic, organizational, interpersonal, software, multimedia, design, articulate.
To write great resume for enrollment specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Enrollment Specialist Resume
The section contact information is important in your enrollment specialist resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Enrollment Specialist Resume
The section work experience is an essential part of your enrollment specialist resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous enrollment specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular enrollment specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Enrollment Specialist resume experience can include:
- Manage time effectively and re-prioritize to meet aggressive deadlines and work in a highly demanding environment
- Strong organizational, verbal and written communication and interpersonal skills
- Excellent computer skills with Microsoft Office applications
- Excellent client service, communication skills, and ability to multitask in fast-paced office environment
- Demonstrated ability to deal effectively with others and have a willingness to be a team player
- Prioritization/organizational skills required
Education on an Enrollment Specialist Resume
Make sure to make education a priority on your enrollment specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your enrollment specialist experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Enrollment Specialist Resume
When listing skills on your enrollment specialist resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical enrollment specialist skills:
- Outstanding customer service skills including effective listening
- Experience working effectively in a team atmosphere
- Demonstrate 40 wpm tying skills with 95% accuracy
- Excellent interpersonal skills with ability to work collaboratively as part of a team
- Detailed oriented with strong interpersonal and communications skills (written and verbal)
- Strong Excel and PC skills
List of Typical Experience For an Enrollment Specialist Resume
1
Experience For LTC Enrollment Specialist Resume
- Three years’ experience working with youth, with one year experience in sales, marketing or counseling related services
- Demonstrated strong customer service focus balanced with production orientation (coding accuracy and speed)
- Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner
- MS Office/PC skills required
- Strong knowledge of functional area, processes and supporting systems including an understanding of how their functions relate to other operational processes
- Demonstrated success in market-facing selling, distribution or service role
- Experience in an office setting using a computer
- Perform accurately and timely all eligibility tasks and assist and train less experienced staff in interpreting benefits and eligibility
2
Experience For Claims Enrollment Specialist Resume
- Takes ownership of entire patient onboarding experience, from referral to first visit to ensure timely and appropriate service
- Demonstrates basic understanding of relevant insurance products
- Maintains a good working relationship both within the practice and with other locations as well as the Support Center
- Overseas and directs Enrollment Team in prioritizing work as business needs change
- Strong critical thinking aptitude
3
Experience For Lead Enrollment Specialist Resume
- Experience with billing and/or provider relations
- Work independently as well as the ability to develop and maintain effective working relationships
- Work independently, prioritize and work under deadlines
- At least one year of experience in customer service or office administration
- Experience managed care
- A valid driver’s license and a reliable vehicle that is insured
- Demonstrate proficiency on 10 key
4
Experience For Seasonal Enrollment Specialist Resume
- Demonstrated proficiency with Microsoft Office Word, Excel and Access
- Screens, tracks, reports, processes and completes incoming provider revalidations
- Previous provider enrollment experience
- Strong Hispanic cultural competency is required
- One or more years credentialing experience
5
Experience For Open Enrollment Specialist HRB Resume
- One year or more years of experience with managed care provider enrollment and credentialing
- Assisting physician and non-physician practitioners with Medicare/Medi-Cal enrollment steps, including Identity and Access surrogacy
- Processing data entry of approvals for I&A, Medicare and Medi-Cal transactions
- Providing backup support to Project Analyst team
- Assists with general office functions including, but not limited to, filing, scanning, copying, maintaining records / files, and faxing records
- Assist prospective students needing to navigate application and enrollment processes, including applying and registering for classes
- The work is typically performed while sitting at a desk or table or while intermittently sitting, standing or walking
- Provides administrative support to business operations by performing processing tasks such as data entry, scanning, mail sorting or similar activities
- Maintains ongoing and up-to-date patient tracking lists, with regular reporting requirements
6
Experience For Administrative Enrollment Specialist Resume
- Supports the Director of Enrollment Services in developing/documenting policies and procedures as well as training materials
- Engage leads by investigating the interests of the prospect and building basic solutions by aligning interests with our offerings
- Reconciliation Analyst support including: daily TRR processing, monthly file processing
- Review and update PCP reports, error reporting, daily processing files from CMS and other ad hoc processing related tasks
- Support the Process Control desk by prepping documents for scanning and delivering correspondence to designated teams
- Conducts outreach, on-boarding, and scheduling calls with identified patient populations
- Assist in successfully completing the month end processing of eligibility files
7
Experience For Annual Enrollment Specialist Resume
- Support remote recruitment efforts by providing mailings of marketing materials
- Follow up on outstanding/pending requests
- Respond to incoming departmental support tickets in Portal, (in internal database system) to solve outstanding issues, within contract requirements
- Respond to parent inquiries assessing their childcare needs and promoting Bright Horizons’ childcare centers
- Assist in reviewing Informed Consent Documents, Study Protocols, Source Documents, and Case Report Forms during development
8
Experience For Hipp Enrollment Specialist Resume
- Ensure screening ratio and marketing expenditures are maintained within study specific budget
- Deliver service through a variety of methods including in-person, inbound and outbound calls, responding to emails, and digital modalities
- Attention to detail in work management and reporting. Most tasks in this space are manual and quality is dictated by the individual managing the task
- Review 834 X12 files during the Aldera system load process. Research and work any discrepancies or errors
- Adjust premiums and rates for financial billing
- Adhere to existing and new policies and procedures specific to each client
- Accountable for outgoing services for USPS, UPS, Federal Express and messenger services
- General scanning of documents into patient records
- Check supporting documentation to ensure all required documents have been received
9
Experience For Open Enrollment Specialist Resume
- Data entry (enrolling MAPD applications, Medigap applications, Supplemental applications, Return mail, and other misc changes)
- Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process
- Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process
- Attend marketing events and opportunities as directed by the Program Manager
- Data entry-related projects including entry of new leads into database system
- Performs special projects including but not limited to system implementations as assigned by Leadership
- Reviews, completes and monitors reports including the data entry of 834 enrollment records
10
Experience For Open Enrollment Specialist, HRB Resume
- Works as a team to accomplish larger application goals and independently with little supervision when completing assigned tasks or other responsibilities
- Provides enrollment advice to prospective students, helping them define career interests and appropriate academic pathways
- Informs students of available support programs and services and responds to all inquiries regarding academic programs, registration, and general information
- Address billing and eligibility questions
- Communicate with prospective students via call, emails, chats and faxes regarding the Program
- Guide prospective students through the enrollment process with the goal of helping them start their academic classes
List of Typical Skills For an Enrollment Specialist Resume
1
Skills For LTC Enrollment Specialist Resume
- Proven ability to function effectively in a high production environment with deadlines
- Demonstrate strong general computer knowledge and Microsoft Excel and Word experience
- Demonstrate ability to interact effectively and tactfully with students of diverse nationalities and cultural backgrounds
- Outstanding service and overall communication/negotiation skills
- 1-5 years of healthcare experience including Medicare or Medicaid Provider or Facility enrollment or credentialing experience
- Healthcare experience including Medicare or Medicaid Provider or Facility enrollment or credentialing experience
- Decision-making skills with the ability to investigate and weigh alternatives and select the course of action that provides the
- Possesses intermediate computer skills in spreadsheets and word processing software
2
Skills For Claims Enrollment Specialist Resume
- Demonstrated experience working with targeted populations and general student populations is highly desirable
- Microsoft Office Suite with advanced Excel skills
- Work effectively with staff, parents and students from a variety of diverse backgrounds
- Decision-making skills are essential as is the ability to assume responsibilities as delegated
- Prior experience with tax advantaged based benefits plans
- Prior experience within health related industry
- Providing excellent customer service consistent with our brand and values
- Experience working with multiple Microsoft Excel worksheets including filtering and updating information on a daily basis
- Work experience reviewing, approving and processing applications or member records
3
Skills For Lead Enrollment Specialist Resume
- Experience using Microsoft Outlook including email, tasks and calendar functions
- Experience using Microsoft Word for creating letters, memos and general correspondence
- PREVIOUS Sylvan Learning experience as a CD, DE or lead teacher is a requirement
- Demonstrated ability to interact with internal and external customers professionally while maintaining a high level of confidentiality
- Experience with Colleague, Banner, PeopleSoft or other high education enterprise resource planning (ERP) systems is highly desirable
4
Skills For Seasonal Enrollment Specialist Resume
- Previous auditing or analytical experience
- Experience with reviewing New York State Medicaid/Medicare Health Plans
- Previous experience working in a deadline driven environment with peak periods
- Experience in working with personal computers in an office environment
- Independently delivers consistently superior, cost-effective service by handling technically complex as well as non-routine and simple enrollment requests
- Ensure Quality Assurance and Integrity Forms are complete and accurate prior to transmitting the application for data entry
- Work experience of multitasking between programs, data entry or client look up systems
- Proficient with SharePoint and effective use of advanced software applications
- Demonstrated proficiency with Microsoft Office Word, Excel and Access
5
Skills For Open Enrollment Specialist HRB Resume
- One year of Revenue Cycle operations an processes experience
- Demonstrated ability to analyze and interpret data within information systems and make independent decisions required
- Three years of Accounts Receivable or Enrollment experience
- Customer service or administrative sales support experience
- Experience with outlook, word, and excel spreadsheets
- Enrollment experience required
- Possess a comprehensive knowledge and skill in the use of student information systems
- Demonstrate initiative, self-motivation, reliability and a positive team spirit
- Demonstrated ability to research, analyze, interpret and apply enrollment policy and procedure guidelines
6
Skills For Administrative Enrollment Specialist Resume
- Skill in the compiling and preparing reports
- Two (2) to four (4) years of work experience in a Managed Care, delegated credentialing office or Credentialing Verification Office
- Managed Care/Health Plan experience; including Government Medi-Cal and Medicare
- One year or more of customer service experience in a professional setting, either face-to-face or by phone
- Experience in a customer facing role
- Experience with implementation and / or managing benefits
- Experience with marketing, student recruitment and advisement
7
Skills For Annual Enrollment Specialist Resume
- Managing prospective learner and learner data in PeopleSoft and tracking contact throughout the learner lifecycle
- Coordinating and sending emails to perspective learners about University opportunities
- Working knowledge of Medicaid eligibility
- Providing informal enrollment department leadership in the absence of Revenue and Enrollment Leadership
- Maintaining all HIPAA and Compliance Requirement
- Working knowledge of insurance regulations, as they pertain to provider enrollment with payers and government programs
- Working knowledge of 401(k) plans
8
Skills For Hipp Enrollment Specialist Resume
- Understanding of Managed Care laws governing members desirable
- Providing any administrative or support assistance, as needed or apparent
- Working knowledge of payor policies and PBS’s billing procedures
- The work is typically performed while sitting at a desk or table or while intermittently standing or walking
- Perform ECG/EKG, vital sign measurements, and rating scales, reporting abnormal results to appropriate staff as required
- Responsible for auditing and testing membership system upgrades
- Works directly with the Information Technology team in reporting and testing electronic file issues
- Assist with documenting and reporting daily productivity to management
- Provide initial enrollment advising, testing referral and orientation and collaborate with assigned academic adviser
9
Skills For Open Enrollment Specialist Resume
- Maintain high level of accuracy in multiple databases and tracking spreadsheets containing confidential and secure information
- Familiarity of federal, state and local laws and regulations pertaining to student privacy
- Working knowledge of insurance regulations, as they pertain to provider enrollment with
- Document monitoring activities and adverse findings in accordance to protocol
- Prepare reports/summarize monitoring activity outcomes/results
- Service/Handling Service Challenges/ADVANCED
- Service/Working Across Boundaries/ADVANCED
- Ensure follow up to all queries related to screening and enrollment of assigned studies
- Serve primary needs of perspective and current students, act as triage and provide more in-depth counseling and support
10
Skills For Open Enrollment Specialist, HRB Resume
- Provide outstanding level of service to both internal and external customers
- Produces Online Enrollment and Medical Underwriting materials in response to service requests
- Develops and maintains expertise on team procedures and policies as well as end to end enrollment processes in an ever changing environment
- Thrives while working under pressure and within tight timelines
- Is self-directed, knows what needs to be done and often does it before being asked
- Counsel and register course learners on a daily basis; serving as customer support on the process of how to register and secure a financial solution
- Follow-up calls and tracking of critical admission documents
List of Typical Responsibilities For an Enrollment Specialist Resume
1
Responsibilities For LTC Enrollment Specialist Resume
- Strong data entry skills with demonstrated accuracy, quality, and attention to detail
- Demonstrated strength in time management skills; ability to prioritize
- Strong attention to detail and accuracy with exceptional organizational skills
- Specialized knowledge of MS Office Suite, prior experience with a student information system and/or Hobsons Apply Yourself
- Previous eligibility/enrollment experience or customer service experience in an HMO or health related field
- Experience billing and customer service
2
Responsibilities For Claims Enrollment Specialist Resume
- Experience presenting to groups of 100 + or more
- Strong knowledge of Microsoft Word & Power Point
- Strong knowledge of EDI file requirements
- Strong knowledge of platform integration processes
- Shares learned experiences with all members of the department
- Proven Technical expertise – knowledge of various products, systems and processes
3
Responsibilities For Lead Enrollment Specialist Resume
- Hospitality and or Customer service experience
- Skill in database and records management
- Skill in the maintenance of files and records
- Establish effective work relationships both within and outside of the enrollment team
- Demonstrated ability to communicate via email
- Experience with Amisys and Service Matrix desirable
- Experience in enrollment/eligibility or transaction related operations
4
Responsibilities For Seasonal Enrollment Specialist Resume
- Complete manual corrections ensuring synchronization with internal systems, including merging and voiding member records
- Maintains student records in the student information system including data entry and batch processing of applications
- Develop provider, claims, and membership data reports and reconciliations utilizing various reporting tools
- Courteously provide customers with information and education concerning government program enrollment processes and requirements
- Reviews and provides research results to the Billing Department to assist with claims issue resolution
- Coordinates all financial aid applications and ensures applications are complete and not missing any information necessary for the award process
5
Responsibilities For Open Enrollment Specialist HRB Resume
- Assists in processing all registration and financial aid functions
- Prepares requests for student academic records, including certificates, student course evaluations, and official academic records
- Communicates with parents as necessary to request outstanding information or for other related enrollment initiatives via email, telephone or fax
- Assists with the training of new employees as needed
- Coordinate a pipeline and follow call protocol while moving customers through application and admissions processes
- Respond to requests for information regarding college programs
6
Responsibilities For Administrative Enrollment Specialist Resume
- Provides training and technical assistance to end-users
- Assists students in using the online enrollment system; provides information on registration and payment methods
- Processes undergrad and continuing education student forms by phone, e-mail and/or fax
- Provide technical expertise and guidance to field sales distribution, brokers and technology partners regarding enrollment strategies to support products
- Support admissions office with recruitment events, including open houses, graduate, college transfer, and career fairs
- Enrollment Specialists adhere to the highest level of ethical standards and all accreditation and college rules and regulations regarding student enrollment
- General knowledge and high comfort level with utilizing technology & web based software
- Member of an in-bound/out-bound phone-based team focused on enrolling new participants into their John Hancock 401(k) plan
7
Responsibilities For Annual Enrollment Specialist Resume
- Educate and help 401(k) participants to better understand the benefits of contributing to their JH 401(k)
- Deliver superior service in a professional manner to assist participants in their decision-making process
- Knowledge of retirement plans including 401(k) rules and regulations
- Partner with Sales and other internal and external customers/brokers to finalize education and enrollment employee outreach strategy and marketing plan
- Provide training sessions with sales team
8
Responsibilities For Hipp Enrollment Specialist Resume
- Fundamental understanding of insurance products
- Responds to inquiries and requests from other departments regarding membership data (e.g., provider relations, customer service and claims)
- Primary responsibility - vendor registration for SureScripts (e-Prescribing) and nThrive formerly MedAssets (CodeCorrect)
- Receive incoming requests via CRM (eManager) – tasks and cases; review requests for accuracy and completeness
- Document in detail ongoing requests/projects
- Knowledge of Group Benefit Division Enrollment and Medical Underwriting production process and systems highly desired
- Technical acumen related to using various software programs and GBD systems (Microsoft Excel, Microsoft Word, Pulse, Case management etc.)
9
Responsibilities For Open Enrollment Specialist Resume
- Comfortable working through difficult or time dependent situations
- Work flexible hours, including evenings, weekends and college closed days to accommodate the enrollment needs of the college
- Identify discrepancies generated from incremental load process and coordinate resolution include identifying required system changes
- Identify and resolve complex issues, including mass change updates, reconciliation projects, and the operationalization of data from various sources
- Knowledge of word processing, spreadsheet, database and calendar software
- Work on-site at either the Concord or San Francisco, CA locations, when not traveling
- Answer incoming calls in a timely manner as identified by service level standards
10
Responsibilities For Open Enrollment Specialist, HRB Resume
- Service/Providing Solutions to Constituent Needs/ADVANCED
- Maintain periodic evening hours for open house/recruitment events and late registration
- Familiarity with data processing and the ability to work with documented policies and procedures
- Comfortable interacting with key senior level IT and business stakeholders
- Accountable for processes involving the CIP, OFAC, transfer, and enrollment requests
- Manage client, member, and internal communication regarding processes related to the team via our Transfer Inbox
- Performs quality assurance and ensures processing standards are within SLA and audit requirements
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