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Enrollment Specialist

  • Job Family: Customer Care
  • Type: Full time
  • Date Posted:
  • Req #: JR68389


  • Texas, Texas



Enrollment Specialist

On-Site- 4751 Hamilton Wolfe, San Antonio TX 78240

Must reside in the within 50miles of San Antonio TX

Hours- 10am-7pm

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

The Enrollment Specialist is responsible for having extensive knowledge of company services, products, insurance and dental benefits, provider contracts and claims. Functions in a multi-functional capacity and is proficient in the use of all applicable claims systems, demonstrating the ability to adjudicate a variety of claims. Resolves and documents contacts with constituents, demonstrating contact expertise. Uses all applicable contact and inquiry systems proficiently.

How you will make an impact:

  • Resolves and responds to questions from customers, group administrators, providers, and brokers via claims adjudication, telephone, and written communications.
  • Applies knowledge to administer benefits and respond to inquiries.
  • Interacts with other areas as necessary to resolve issues.
  • Performs in-depth research to resolve inquiries for customers through direct coordination with providers, group administrators and internal departments. Initiates, monitors, and provides follow-up to ensure timely resolution and closure to issues.
  • Proactively takes necessary actions to prevent future problems from occurring.
  • Recognizes system, process and workflow opportunities and offers alternatives for improvement.

Minimum Requirements:

  • Requires HS diploma or equivalent and a minimum of 2 years’ experience with the company in combination of claims and customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

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