Member Services Processing Specialist

General Dynamics Information Technology

. Process enrollment applications, documentation, certifications, transfers, appeals, and designated representative appointments and updates .

Posted 10/7/2026full-timeRemote • United StatesJunior💰 $23 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing enrollment applications and maintaining compliance with HIPAA and program privacy requirements. Proficient in data entry, documentation analysis, and effective communication with stakeholders to ensure accurate and timely processing.

Highest-signal resume keywords

Data EntryDocumentation AnalysisCustomer ServiceMicrosoft ApplicationsIntelligent Document Processing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Enrollment ProcessingRecord UpdatesCompliance DocumentationApplication ReviewData Analysis

Soft Skills

Strong Communication SkillsAttention to DetailProblem SolvingCollaborationMultitasking

Tools & Technologies

ServiceNowCXoneDigital Mail Center SystemsEntry PortalsIntelligent Document Processing Platforms

Certifications & Qualifications

Public Trust

Industry Keywords

Federal Health ProgramsHealthcare OperationsPIIPHIQuality Assurance

Tech Stack

Tools & technologies

ServiceNow

About the role

Key responsibilities & impact

Process enrollment applications, documentation, certifications, transfers, appeals, and designated representative appointments and updates
Review member-submitted materials for completeness, accuracy, and eligibility
Analyze application documentation against program enrollment requirements
Perform data entry and record updates in digital mail center systems, entry portals, and intelligent document processing platforms
Maintain accurate case notes, documentation, and processing records for compliance and audit readiness
Communicate with members, providers, and internal stakeholders about documentation requirements, missing information, and status updates
Escalate complex or ambiguous cases to the Member Services Processing Supervisor
Adhere to HIPAA and program privacy requirements when handling PII/PHI
Support quality assurance by identifying errors, trends, and potential improvements
Participate in cross-training and process updates across enrollment, record updates, appeals routing, and member correspondence
Contribute to continuous improvement by identifying workflow challenges, system issues, and enhancement opportunities

Requirements

What you’ll need

High School Diploma or equivalent
1–3 years of experience in processing, administrative support, data entry, customer service, or a related operational role
Strong written and verbal communication skills
Ability to follow detailed procedures, meet deadlines, and adapt to changing priorities
Strong attention to detail with the ability to analyze documentation to determine if it meets program requirements
Skills in collaboration, customer problem solving, customer service, Microsoft Applications, and multitasking
Must be able to obtain and maintain a Public Trust
Background supporting federal health programs or healthcare operations preferred
Experience with intelligent document processing tools, member service portals, or customer support platforms such as ServiceNow or CXone preferred
No US citizenship required

Benefits

Comp & perks

Full-flex work week
401(k) with company match
Comprehensive health and wellness packages
Internal mobility team
Professional growth opportunities including paid education and certifications
Cutting-edge technology to learn from
Paid vacation and holidays
Medical plan options, including some with Health Savings Accounts
Dental plan options
Vision plan
Paid time off, including vacation, sick, personal, parental, military, bereavement, and jury duty leave
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance