Enrollment Processor (Eligibility)
Oscar health
Tempe, Arizona
08.2020
- Processed enrollments, reinstatement's, and terminations for individual policies based on eligibility requirements and state regulations
- Evaluated (level one and two) potential fraudulent cases to determine if potential fraud was committed; determined resolution on members eligibility status based on extensive research findings
- Verified and updated basic demographic information for individuals across multiple systems to maintain up to date client records
- Manually maintained and updated billing activities based on escalated concerns, and system discrepancies to decrease system errors
- Reviewed incoming documentation for accuracy; manually processed documentation records into internal systems
- Implemented cross-departmental communication with Care Guides team members to provide updates on insurance coverage changes, increase accurate information streamlines and reducing misinformation instances.
