Dina Jorgensen

Enrollment and Eligibility Specialist @Brighton Health Plan Solutions

Verify the loading new member or group data into the enrollment database & update the database with changes• Responding to member eligibility or group questions & verify enrollment status• Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes• Inventory control of member and group transactions• Support the Eligibility Call Center Representatives• Ability to work with various types of member communication• Working with our IT department to investigate and validate member eligibility• Works directly with the Accounts Payable team to review and resolve any premium issues including outreach to members, clients and State officials as needed• Communicate effectively with individuals/teams in the program to ensure high quality and timely expedition of customer requests.• Participate in activities designed to improve customer satisfaction and business performance.• Use decision-support tools to answer questions, where needed.• Solve problems that are sometimes unstructured and that may require reliance on conceptual thinking. Work is frequently completed without established procedures• Maintain broad knowledge of client requirements, procedures and key contacts.• Support projects and other departments in completing tasks/projects• Other duties as required.