Enrollment Analyst Resume Samples

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BS
B Spencer
Braxton
Spencer
7664 Felicita Island
Dallas
TX
+1 (555) 978 0295
7664 Felicita Island
Dallas
TX
Phone
p +1 (555) 978 0295
Experience Experience
San Francisco, CA
Enrollment Analyst
San Francisco, CA
Spinka, Will and McCullough
San Francisco, CA
Enrollment Analyst
  • Perform root cause analysis of data issues involving member related inquiries
  • Research different data sources to find correct information and then perform analysis to determine the cause of the problem
  • Compile information and send reports to company and client management
  • Learn new processes and in turn train company associates on the new processes
  • Research member requests / issues as presented by the vendor, clients and Account Management
  • Track and monitor member enrollment processing; identify issues and apply solution
  • Track and review client reporting to ensure data accuracy and data to identify trends (spot checking delivery, content, etc.)
Philadelphia, PA
Enrollment Quality Analyst
Philadelphia, PA
Hansen-Rosenbaum
Philadelphia, PA
Enrollment Quality Analyst
  • Provide feedback to the Business Manager/Supervisor for performance management
  • Manages workflow, including batching out work to ensure audits are completed within set Turn Around Times
  • Initiate process improvement activities focused on quality improvement
  • Collaborate with associates and leadership in developing individual and team improvement plans
  • Identify, investigate, and report non-conformances related to Enrollment processes to management
  • Perform ATA (Audit the Auditor)
  • Trend, analyze and improve quality results
present
Houston, TX
Provider Enrollment Analyst
Houston, TX
Wisoky, Murazik and Altenwerth
present
Houston, TX
Provider Enrollment Analyst
present
  • Perform ongoing research to correct data so it does not create duplicate provider, locations, payees, and participation
  • Develop and maintain scorecards to monitor status of Provider Enrollment goals
  • Keep up to date provider enrollment process and records and track provider participation levels
  • Assist with development/maintenance of reports used for auditing/monitoring of policy & procedure adherence
  • Provide analysis and trending of provider holds and write off reports
  • Assist with other duties as assigned
  • Facilitate provider related research based on suspended claims, PO returns and other feedback opportunities
Education Education
Bachelor’s Degree in Related Field
Bachelor’s Degree in Related Field
University of San Francisco
Bachelor’s Degree in Related Field
Skills Skills
  • Ability and willingness to listen, learn, and turn into actionable outcomes
  • Ability to capture information and data from multiple sources leading to actionable outcomes
  • Ability to evaluate and suggest new and innovative tools to advance reporting capability
  • Ability to undertake projects and tasks with an analytical methodology and approach solutions from numerous vantage points
  • Ability to manage projects from inception to completion
  • Ability to use data to solve problems
  • Demonstrated ability to manage time, work in a collaborative environment, and under specific deadlines
  • Ability to manipulate data to support the functions within Enrollment Management and Academic Affairs
  • Ability to manage multiple projects in a deadline driven environment
  • Ability to communicate and collaborate with institutional stakeholders in Enrollment Management and Academic Affairs
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15 Enrollment Analyst resume templates

1

Enrollment Quality Analyst Resume Examples & Samples

  • Manages workflow, including batching out work to ensure audits are completed within set Turn Around Times
  • Provide feedback on findings, including trending information that can be used for coaching purposes (with team and with business partners)
  • Review and determine 1st level appeals Assist with EOM reporting and -Completes Monthly Appeal Summary Identify and assist with training team members as needed Work to resolve questions/issues found through auditing with Policies and Procedures Promote improvement initiatives
  • Trend, analyze and improve quality results
  • Identify root causes of errors and opportunities for defect reduction
  • Perform side by side coaching sessions as needed, providing appropriate coaching based on approved audit business practices and guidelines
  • Perform ATA (Audit the Auditor)
  • Support office goals and objectives
  • Actively participate in quality initiatives and programs at the office and corporate level
  • Collaborate with associates and leadership in developing individual and team improvement plans
  • Initiate process improvement activities focused on quality improvement
  • Facilitate and participate in Six Sigma activities (as needed)
  • Report system problems
  • Provide feedback to the Business Manager/Supervisor for performance management
  • Retain self-proficiency (e.g. maintain/increase skills) of competencies related to quality review areas
  • 2+ years of Oxford Business platform experience, knowledge and experience on Oxford Large is a plus
  • 2+ years of experience working in a team environment
  • 2+ years of experience in healthcare membership enrollment systems and maintenance of member data
  • Bachelor’s Degree (or higher) or an equivalent combination of education and experience
  • Background in Small Business Case Installation
  • Background in Data Analytics
  • Understanding of company's products, processes operating platforms and applications
  • Strong interpersonal and motivational skills at an individual and team level
  • Strong organizational and project planning skills
  • Great business communication skills both verbal and written
  • Negotiation skills and attention to detail
2

Enrollment Analyst Resume Examples & Samples

  • Demonstrated skills in data extraction and manipulation, and analytical reasoning
  • Ability to gather requirements, extract and analyze appropriate data, and provide relevant reports in a timely manner
  • Ability to meet deadlines and work on multiple projects at once
  • Ability to maintain documentation, file management and version control
  • Ability to work in a continuous quality improvement environment
  • Excellent oral and written communication skills and good organization skills
  • Self-motivated, quality-focused and team-oriented
3

Senior Enrollment Analyst Resume Examples & Samples

  • Business process analysis or data analysis experience
  • Bachelor’s degree in related field or equivalent experience in lieu of degree
  • 2+ years of current experience with transaction processing, data reconciliation, membership records, or related managed care/healthcare experience
  • Bilingual in Spanish is highly preferred
4

Enrollment Analyst Resume Examples & Samples

  • Demonstrated experience in working with clients and internal Account Management to resolve issues
  • Excellent interpersonal skills both verbally and in writing
  • Must be able to promote and ensure client satisfaction via timely and accurate responses, clear communication, and ongoing training / education of Account Management staff as it relates to Enrollment process / procedures and CMS guidance / regulations
  • Research member requests / issues as presented by the vendor, clients and Account Management
  • Track and monitor member enrollment processing; identify issues and apply solution
  • Ensure established policies and procedures are being followed by vendors and identify areas where process updates may be needed
  • Track and review client reporting to ensure data accuracy and data to identify trends (spot checking delivery, content, etc.)
  • Proofread client-specific member letters to ensure correct data is populated based on final approved documents
  • Attend conference calls with clients, Account Management and vendor as needed
  • Assist with new client implementations
  • 3 years of prior experience with Medicare Part D PDP operations including an understanding of regulatory guidance
  • 3 years of prior experience in a Client / Account Service support function
  • 3 years of prior experience within the PBM industry
  • Experience gathering and documenting customer requirements in a form and manner to best support client and CMS expectations
  • Experience and demonstrated familiarity with EGWP enrollment and operations (strongly preferred)
5

Market Enrollment Analyst Resume Examples & Samples

  • Monitor incoming and outbound enrollment feeds and help provide overall market-level oversight in conjunction with corporate enrollment support teams
  • Perform as the market escalation contact for one-off eligibility reconciliation issues impacting claims/care management activities, determining root cause and managing through successful resolution
  • Support market-level enrollment reporting/analysis needs and proactively identify potential anomalies/exceptions. As part of this, you will also assist in determining root cause analysis, creating process maps/documentation (as needed) and helping drive resolution/ implementation
  • Monitor the successful tracking, communication and reporting of level of care changes for members to ensure full alignment with regulator data sources
  • Assist in the ongoing oversight and maintenance of an authoritative repository of PCPs rendering services in specialized service locations
  • Partner as needed with the Humana Senior Products Organization and corporate support teams as well as various external parties (Medicaid agency, Fiscal/Employer Agent, vendors)
  • 2 – 3 year’s experience in MS Access (develop and execute queries)
  • Process/project management skills
6

Senior Analyst Enrollment & Ebusiness Resume Examples & Samples

  • Analytics and Reporting
  • Utilizes and leads others to leverage data sources to better understand trends, competitive environment and how Guardian is doing against our digital strategic plan
  • Ability to collect and organize data, conduct analysis and report on and apply results. This includes but is not limited to analyzing data and research to help identify Guardian gaps and opportunities and develop initiatives to address them
  • Demonstrate ability to build strong partnerships throughout the organization both within home office, key partners, and vendors
  • Strong organizational, communication and interpersonal skills. Must be a competent and persuasive communicator and have the ability to be an assertive influencer. Gaining credibility, support and involvement of key constituents
  • Ability to turn strategic thinking into genuine action, and have a strong sense of urgency to ensure key deadlines are met
  • Acts as a business leader with the ability to make appropriate decisions independently based on objectives, experience and data
  • Strong knowledge of the employee benefits industry, including basic understanding of products, but deep understanding of business processes needed to support customer enrollment and digital capabilities
  • Experience with Google Analytics, Webtrends, and knowledge of salesforce, Wistia, Smartsheet or other PMO systems and marketing automation tools like HubSpot
  • Proficiency with Microsoft Office Suite, Tableau and data warehousing
  • Can work independently and takes initiative
  • Ability to work with agency relationships on integrations and marketing campaign execution
  • Must be detail oriented with strong multi-tasking and project management skills
  • Strong problem solving skills, responsive and flexible to evolving responsibilities and changing environment
  • Proven track record of working with Analytics technologies
  • 5+ years of insurance experience
7

Enrollment Quality Analyst Resume Examples & Samples

  • Interact with Compliance team members via telephone, conference meetings, or e-mail to explain and verify the Enrollment Department's member enrollment data entered into the EAM and Facets databases meet the CMS standards, from the point of member application receipt to the mailing of new member material
  • Assist with internal and external audits of the Enrollment Department to ensure procedural standards are consistently adhered to by the Enrollment staff. Provide feedback to reduce errors, improve processes and performances, and ensure the quality and consistency
  • Responsible for identifying recommended training/retraining of Enrollment processes or techniques to meet accuracy requirements
  • Investigate, record, resolve, maintain and report all member complaints and grievances
  • Please change job responsibilities to the attached description
  • This position is required to support the Risk Based Integrated Audit (RBIA) team and will be responsible for auditing Part D projects. Specifically, the position will perform visual audits and claims testing, which determines OptumRx support of contractual performance guarantees
8

Senior Analyst, Enrollment Analytics Resume Examples & Samples

  • Support Enrollment Management with the creation and distribution of weekly, monthly, and quarterly reports
  • Collect data needed for analyses related to performance of the Enrollment Management team
  • Lead projects related to the development of new reports and enhancement of existing reports
  • Create specifications for new reports and provide to Business Intelligence as needed
  • Assist in the validation of the output of new and existing reports
  • Support Enrollment Management Team with ad-hoc reporting requirements and data collection requests
  • Provide strategic guidance as it relates to pipeline management and other pertinent areas of performance
  • Participate in annual budget and long-range planning process
  • Prepare ad-hoc analyses and establish business metrics for the executive leadership team
  • Produce analytical narratives of key findings, including actionable business recommendations
  • Work with internal clients to spec-out and execute customization of existing reports or creation of new reports
  • Proactively generate ideas for improvement in reporting as well as new ways of looking at information and opportunities presented by the data
  • Develop thorough documentation and process flows for reporting process
  • Automate manual processes as directed as well as seek out these opportunities and proactively make improvements
9

Enrollment Management Analyst Resume Examples & Samples

  • Collect, extract and analyze programmatic data
  • Identify trends, prepare high-level reports, and communicate findings to support data-driven decision making (the position requires an experienced professional with significant expertise and initiative)
  • Work closely with the Directors of Enrollment Management, Office of Student Financial Aid, and the budget and finance team
  • Interact regularly and also work closely with the Provost’s office and academic units, as well as vendors providing services related to enrollment
  • Serve as a member of the Institutional Research and Assessment team that is responsible for assisting with the reporting and data analytics associated with the university enrollment
  • Support the activities and priorities of all third party vendors responsible for assisting with financial aid leveraging and student recruitment predictive modeling
  • Assist in preparing presentations of data to support strategic and operational planning and decision making; and
  • Prepare U.S. News, Peterson Guide, Princeton Review and other surveys for external reporting
  • Bachelor’s degree in related field, or an equivalent combination of education and experience
  • Detailed understanding of how to pull data from a relational database, then analyze and report data and information for strategic decision making
  • Significant related experience
  • Experience using statistical software packages (e.g., SPSS, SAS, STATA or R)
  • Experience with Oracle SQL, and Oracle databases
  • Knowledge of enterprise resource planning (ERP) systems such as Ellucian Banner, PeopleSoft or SAP
  • Experience with regression analyses
  • Experience working with complex files/tables
  • Ability to communicate technology concepts effectively with technically proficient and non-technically proficient individuals
  • Ability to work collaboratively and effective customer service skills; and
  • Graduate degree is preferred
10

Senior Enrollment Analyst Resume Examples & Samples

  • Research different data sources to find correct information and then perform analysis to determine the cause of the problem
  • Escalate problems as needed
  • Learn new processes and in turn train company associates on the new processes
11

Enrollment Analyst Resume Examples & Samples

  • Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients
  • Researching and consulting to improve healthcare data integrity and ensure excellent service delivery
  • Constantly improving healthcare analytical skills that are needed to perform data analysis
  • Resolving data enrollment issues on a daily basis
  • Consulting on healthcare data needs
  • Having exceptional time management and healthcare client management skills
  • Continuous development training will be provided in this role to ensure the Enrollment Consultant is able to exceed client expectations in this fast-paced environment
12

Senior Enrollment Quality Analyst Resume Examples & Samples

  • Conduct necessary research and coordination as necessary for all audit / compliance related activities
  • Ensure all audit reports support the overall score of the Enrollment Department and compliance strategies
  • Support the process of validating workflows and communication tools to best enhance Quality Assurance (QA)
  • Identify, investigate, and report non-conformances related to Enrollment processes to management
  • Additionally, this position supports development of data analytics and reporting for the entire Quality Management organization. The Quality team is required to perform audits and provide feedback to diminish errors and advance processes and performance. They also analyze, identify trends, and provide reports as necessary. Quality Audit analysts assist with internal audits of the Implementation Department to ensure accuracy of benefit standards are consistently adhered to by the Implementation staff. The Enrollment Quality Audit Representative will be responsible for high level audit reporting and analysis which requires a maximum level of expertise. This position, but not limited to, requires analyst to be a subject matter expert and able to facilitate trainings
13

Enrollment Analyst Resume Examples & Samples

  • Timely and accurate data verification, electronic transactions enrollment and pay-to-address enrollment
  • Management of enrollment services tasks, athenahold claims and SugarCRM cases to meet all internal department metrics
  • Ability to maintain and monitor assigned client accounts and respond to client questions and changes regarding enrollment related issues
  • Working cross-functionally to continuously improve our service
  • Participate in client calls as needed to evaluate enrollment requirements for new and prospective clients
  • Coordination and project management of the enrollment portion of client implementations when needed to ensure all enrollment deadlines are met or surpassed
  • Cross functional investigation and resolution of enrollment related claim denials
  • Commitment to achieving mastery of the role, minimum expectation of 12 months
  • Fully participate in the drive to accomplish all department and corporate goals
  • Become an engaged, and active participant in athena health's teaching and learning culture
  • All candidates must possess a strong desire to learn, as well as embrace athenahealth's unique problem-solving and creative-solutions based approach to our work while adhering to our Corporate Compliance Code
  • Applicants should be excited by the prospect of working in a dynamic environment of continual change/improvement, driven by our rapid rate of growth
  • Possess strong analytical, communication, and organizational skills, and be detail oriented, in order to provide on-going support in the enrollment services process
  • Ability to work on several projects simultaneously and prioritize work to meet tight deadlines and time constraints
  • Resourceful approach to solving problems
  • Ability to maintain poise and a sense of humor in a fast-paced work environment
  • Proven and effective telephone and written communication skills
14

Provider Enrollment Internal Quality Analyst Resume Examples & Samples

  • High School diploma / GED
  • Minimum of 1 year of experience in enrollment or credentialing with knowledge of healthcare terminology
  • Minimum of 2 years of experience in customer service, public relations, or education
15

Enrollment Analyst Resume Examples & Samples

  • Initiate, develop, and generate reports and analyses pertaining to institutional enrollment
  • Provide analytical support for Enrollment Management and Academic Affairs
  • Develop advanced and extended report creation within the data warehouse and Campus Solutions for Enrollment Management and Academic Affairs
  • Develop reports and fulfill data requests pertaining to Enrollment Management and Academic Affairs, departmental data needs, more specifically in the areas of admissions, financial aid, student employment, retention, student records and student accounts
  • Collaborate with other Enrollment Management and Academic Affairs staff members to develop reporting strategies to optimize process efficiency
  • Develop metrics to identify trends in new and continuing student enrollment, student service delivery, transaction volumes and other measurements to continuously enhance student service
  • Identifying opportunities to apply reporting analytics in innovative ways to enhance data driven decision making
  • Assist in the development of enrollment reporting tools to determine causes of student attrition
  • Assist in developing financial aid reporting tools to enhance student quality, diversity, and tuition revenue
  • Assist in developing an executive dashboard that fulfills the reporting needs of Enrollment Management and Academic Affairs
  • Collaborate with Institutional Research and UMIT Decision Support Services relative to external enrollment reporting requirements
  • Participate in various departmental, divisional, or University committee or groups tied to enrollment
  • Liaison between functional units, enrollment systems and Information Technology to educate on data structures within the data warehouse and Campus Solutions
  • Manage relationships with end users in Enrollment Management and Academic Affairs to understand enrollment reporting needs to enhance data driven decision making
  • Contribute to the definition of the Enrollment Management business intelligence strategy
  • Understand the factors that measure effectiveness and importance of efficiency in functional unit operations that can be met with enhanced analytics
  • Identify potential operating efficiencies that can be met with enhanced analytics
  • Identify potential trouble spots where enhanced analytics can serve as a solution
  • Understanding of diverse set of reporting tools, including Power BI
  • Ability to undertake projects and tasks with an analytical methodology and approach solutions from numerous vantage points
  • A keen interest in quantitative and numerical data and analytics
  • Ability to manipulate data to support the functions within Enrollment Management and Academic Affairs
  • Skills to comprehend and translate user needs, creating solutions through data analysis and reporting
  • Requisite communication skills to explain data and analytical topics in an easy-to-understand manner
  • Ability to communicate and collaborate with institutional stakeholders in Enrollment Management and Academic Affairs
  • Ability and willingness to listen, learn, and turn into actionable outcomes
  • Skills to adjust communication to varying levels of technical sophistication
  • Ability to understand complex reporting issues and items tied to data structures
  • Ability to manage multiple projects in a deadline driven environment
  • Ability to capture information and data from multiple sources leading to actionable outcomes
  • Ability to manage projects from inception to completion
  • Self-starter with a great degree of internal motivation
  • Ability to use data to solve problems
  • Ability to evaluate and suggest new and innovative tools to advance reporting capability
  • Demonstrated quantitative and analytical skills and experience
  • Understanding of diverse set of reporting tools
  • Demonstrated experience in higher education related information systems
  • Demonstrated ability to manage time, work in a collaborative environment, and under specific deadlines
  • Three (3) years of experience in higher education administration in a capacity involving data analysis and management. Any appropriate combination of relevant education, experience, and/or certifications may be considered
16

Senior Analyst for Comprehensive Services Annual Enrollment June Resume Examples & Samples

  • Deliver successful enrollment experience to clients
  • Manage all tools and resources related to the process
  • Works closely with other Support Associates (Client Relationship Specialists, Account Managers, Implementation Consultants and Client Service Reps) during peak open enrollment season (year end) to nsure consistent client service levels
17

Provider Enrollment Analyst Resume Examples & Samples

  • Collaborate with key stakeholders (Teamwork’s administrators, provider enrollment, managed care, HCFS, IT, operational excellence) to develop, validate and analyze data to inform decision making and/or monitor initiatives developed to reduce provider enrollment cycle time and write off’s
  • Provide analysis and trending of provider holds and write off reports
  • Develop and maintain scorecards to monitor status of Provider Enrollment goals
  • Assist with development/maintenance of reports used for auditing/monitoring of policy & procedure adherence
  • Provide recommendations related to process/technology changes to reduce cycle time and lost revenue
  • Serve as a resource to provide coverage to other analysts as needed
  • Maintain compliance with HIPAA, Medicare, Medicaid and third party payors
  • Follow TeamHealth and department policies and procedures with special attention to attendance and punctuality, confidentiality, dress code and safety
  • Perform other duties as required and assigned by the National Director Provider Enrollment. These may, on occasion, be unrelated to the position described here
18

Provider Enrollment Analyst Resume Examples & Samples

  • Review Nevada State Enrollment, Revalidation and Change forms
  • Use State regulations to determine provider meets qualification to be enrolled
  • Enter/update provider information in the Nevada MMIS system
  • Respond to questions regarding provider eligibility
  • Accurate and timely documenting and response to complex provider inquiries
  • Identifies, prioritizes and resolves most questions and issues independently
  • Escalate more complex questions or issues appropriately
  • Complies with contract requirements, business unit rules and related industry and legal regulations
  • Minimum of 1-2 years of working experience in related fields
  • Prior customer service experience
  • Prior Medicaid or healthcare experience preferred
  • Good written and verbal communication skills, including professional telephone skills
19

Member Enrollment Analyst Resume Examples & Samples

  • Provide superior customer service by being responsive to all client inquiries on membership related issues in a timely and accurate manner. This may require extensive research and interaction with diverse resources
  • Act as direct contact with clients to ensure accurate membership information and increased customer satisfaction
  • Establish and maintain membership data via electronic eligibility files; manage timely and accurate processing of files to ensure all systems have correct data
  • Analyze incoming EDI eligibility files to confirm file format requirements are met; educate customers as needed
  • Support Online Enrollment application by working directly with clients on setup, maintenance and problem solving
  • Assist clients in the interpretation and management of eligibility reports
  • Accurately establish and maintain membership data for new and existing members through paper/manual process in accordance with processing guidelines and standards; enter data into the system in a timely and accurate manner
  • Communicate and coordinate eligibility issues with Sales, Client Services, and Customer Service departments; work collaboratively with these departments to develop solutions
  • Refer to DentaQuest HIPAA 834 Companion Guide to aid customers in the submission of their EE files
  • Identify EDI solutions to business needs and constantly improve the effectiveness of our EDI communications as they relate to eligibility and membership
  • Work closely with Sales to identify customer expectations and proactively implement processes and procedures to ensure customer needs are met
  • Deliver membership data reports (e.g., eligibility listings) as required by the company and by the client
  • Represent the membership department by interacting with internal stakeholders such as Underwriting, Finance, etc to ensure membership processes and policies are met
  • Support company goals by participating on and providing electronic enrollment expertise to departmental and company projects
  • Ability to analyze and interpret EDI files; knowledge of HIPAA 834 transaction a plus
  • Ability to work independently without close supervision
  • Advance knowledge in MS Excel
  • Ability to analyze and interpret data files
  • Ability to handle multiple projects and priorities
  • Analytical and attention to detail and time management skills
  • Ability to analyze problems and bring them to resolution
  • College degree or equivalent preferred or minimum 2-4 years related data processing or analysis experience
20

Analyst for MAS HRB Open Enrollment August Resume Examples & Samples

  • Serves as the ADP project coordinator during the client's open enrollment period across all ADP-related tasks and requirements. He/She owns accountability for a client's successful open enrollment
  • Coordinates and manages ADP-related resources and tasks. ADP tasks may include connection development and/or maintenance, open enrollment training, and applicable configuration of other ADP products (e.g. payroll, COBRA, FSA, etc)
  • Manages all tools and resources related to the open enrollment process and serves as an open enrollment expert throughout the ADP Major Accounts HR and Benefits Services organization
  • Performs special projects as determined necessary by the Open Enrollment Manager
  • In order to monitor quality as viewed by Clients, monthly surveys are sent to a percentage of the Client base. Associates goal is to consistently score 81 or better on these monthly surveys
  • Scores between 75 and 81, while marginally acceptable are monitored for improvement. Scores below 75 are deemed not acceptable
21

Provider Enrollment Analyst Resume Examples & Samples

  • Enter and maintain Provider applications, contracts and updates into the system
  • Enter and maintain all Provider information into credentialing database
  • Verify potential and existing Provider’s license, liability insurance, BNDD, CDS and DEA certificate
  • Verify Provider’s education, hospital privileges, Board certification and other criteria as required
  • Verify accurate banking & billing information
  • Perform ongoing research to correct data so it does not create duplicate provider, locations, payees, and participation
  • Maintain credentialing information by reviewing, entering and following up on missing information
  • Review National Practitioners Data Bank for adverse charges pending or filed against Provider
  • Track contract applications status
  • Assure all files have a Welcome, Denial or Term Letter as appropriate
  • Meet required turnaround times and accuracy rates
  • Maintain fee schedules by creating, reviewing and auditing provider fees
  • Keep up to date provider enrollment process and records and track provider participation levels
  • Facilitate provider related research based on suspended claims, PO returns and other feedback opportunities
  • Participation in credentialing committee as necessary
  • Update the system and the credentialing database to reflect approvals, denials and/ or terminations
  • Available overtime hours
  • Previous experience working with files or the collection and coordination of data preferred
  • Proficient in the use Excel required
  • Experience with general computer software (Word, Outlook required)
  • Ability to learn new software programs quickly
  • Good basic math skills
  • Professional and effective interaction skills with co-workers, clients, Providers, vendors
  • Proven ability to work well individually and as a team member
  • Ability to prioritize and organize multiple tasks
  • Ability to remain organized with multiple interruptions
  • Ability to adapt to constantly changing environment
  • High School diploma or equivalent, Associate’s degree preferred
  • 1-2 years of experience in business environment
22

Enrollment Analyst Resume Examples & Samples

  • Researching, processing, and finding solutions for routine and complex enrollment issues
  • Manually looking up records and analyzing data to determine the next steps for discrepancy resolution
  • Identifying areas of improvement and opportunities for training within the Medicare D Enrollment Operations department Effectively understanding and navigating multiple enrollment systems simultaneously
  • Making sound business decisions based on instructions, policy and procedures
  • Adhering to strict CMS mandated turn-around times
  • Communicating professionally with internal partners and co-workers, promoting a healthy work environment
23

Senior Analyst for Comprehensive Services Annual Enrollment August Resume Examples & Samples

  • Serves as the ADP project manager during the client's open enrollment period across all ADP-related tasks and requirements; owns accountability for a client's successful open enrollment
  • Complete enrollment changes in the HR & Benefits module and coordinate changes
  • Coordinates and manages ADP-related resources and tasks which may include connection development and/or maintenance, enrollment training, and applicable configuration of other ADP products (e.g., payroll)
  • Serve as the subject matter expert on enrollment and benefit plan set up in the HR & Benefits module
  • Provide post implementation support to relationship manager (RM) and client during non-peak times
24

Enrollment Management Analyst Resume Examples & Samples

  • Serve as a member of the Institutional Research and Assessment team that is responsible for assisting with the reporting and data analytics associated with university enrollment
  • Support the activities and priorities of all third-party vendors responsible for assisting with financial aid leveraging and student recruitment predictive modeling
  • Assist in preparing presentations of data to support strategic and operational planning and decision-making; and
  • Detailed understanding of how to pull data from a relational database, then analyze and report data and information for strategic decision-making
  • Experienced professional with significant expertise and initiative
  • Bachelor’s degree in related field required; or an equivalent combination of education and experience
  • Demonstrated related experience
  • Experience using statistical software packages (e.g., SPSS, SAS, STATA, or R)
  • Ability to communicate technology concepts effectively with technically proficient and nontechnically proficient individuals
  • Knowledge of ERP systems such as Ellucian Banner, PeopleSoft or SAP
  • Experience with regression analyses; and
  • Experience with Oracle SQL and Oracle databases
25

Senior Enrollment Analyst Resume Examples & Samples

  • Survey response generation using tools available internally: application/student/faculty data/ web/ government reporting/ pool of historical responses/ etc
  • Recruit pool analytics
  • Database construction and upkeep. (Tableau, Cognos and SPSS)
  • Graduate Enrollment Tracking on Persistence and predicting outcomes