Senior Coordinator, Enrollment Operations

A Brief Overview Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations. What You Will Do Conduct comprehensive enrollment and insurance verification for patients or members, gathering the necessary information to confirm coverage, policy details, and eligibility. Analyze insurance plans and policies to determine the extent of coverage for various medical procedures, treatments, medications, or services. Ensure compliance with industry-specific regulations, laws, and contractual obligations related to insurance verification. Identify opportunities to streamline and optimize insurance verification processes. Provide exceptional customer service to patients or members throughout the insurance verification process by addressing inquiries, concerns, and disputes related to coverage or benefits in a timely and satisfactory manner. Communicate with insurance providers, brokers, or third-party administrators to obtain accurate and timely insurance information. Perform quality assurance checks on insurance verification processes and data to ensure accuracy and compliance with regulatory requirements. Handle complex insurance verification cases that may involve high-value claims, specialized services, or challenging coverage scenarios. Provide guidance, support, and mentorship to junior insurance verification employees by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills and competencies of the team. Required Qualifications 2+ years of work experience Adept at problem solving and decision making skills Preferred Qualifications Bachelor's Degree Education High School diploma or equivalent Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 – $35.29. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Benefits We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement