SCOPE OF ROLE

The Membership and Enrollment Specialist I is responsible for providing level one support to Bright Health members. 

ROLE RESPONSIBILITIES

• Provides Level 1 support by answering incoming calls regarding Enrollment, Eligibility and/or Premium Billing Questions.
• Collaborates with internal and external Bright Health Partners to resolve Level 1 Enrollment and Eligibility issues.
• Facilitates collection of outstanding premium.
• Work with State-based exchange and Federal Facilitated Marketplace (FFM) to resolve Level 1 enrollment, premium, APTC/CSR disputes or discrepancies.
• Participate in the discovery and resolution of root cause for recurring issues.
• Work with Members in grace period to resolve billing issues and/or collect outstanding premium.
• Ensure that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• High School diploma or GED required.
• One to three years of customer service experience required in a call center environment.
• Must have previous knowledge and/or experience working with Individual Family Health Plans(IFP), Federally Facilitated Marketplace(FFM) and the Affordable Care Act(ACA)

PROFESSIONAL COMPETENCIES

• Strong communication skills, both verbal and written (bilingual is a plus, but not required)
• Must be detailed oriented and present critical analytical thinking skills
• Must display active listening skills
• Must present strong ability to read and comprehend material presented both orally and in writing
• Organized and be able to prioritize work to meet deadlines
• Works independently with little supervision
• Able to thrive and adapt in a fast paced, stressful environment
• Must be flexible to change and open to learning new tasks as assigned
• Must have experience using Microsoft Office, along with general typing skills
• Understanding of regulatory and compliance rules surrounding enrollment and eligibility
• Must have 1-2 years of Healthcare knowledge
• Bilingual a plus

ABOUT US

At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.

We’re Making Healthcare Right. Together. 

We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!