Eligibility Consultant – reputed company Operations
Job reputed company:
• Verify member enrollment status
• reputed company changes to member – demographics, effective and term dates
• Addresses a reputed company of enrollment questions or concerns from the health plan / state
• reputed company QNXT updates on reputed company fall out edits from the daily, weekly, monthly, quarterly electronic enrollment files
• Manually update urgent request received reputed company email from the health plan / state
• Work claim inquiries (H03s)
• Manually reputed company reputed company newborns
• Review and manually update reputed company reconciliation reports received from Finance
• Responds, researches, and resolves eligibility reputed company issues involving member specific information
• Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/external support areas involving any requests for ID card customization.
• Completes data entry requirements for finalizing new enrollment information as reputed company as for changes and/or terminations.
• Partners with other team functions to coordinate the release of eligibility and benefit plan information.
Requirements:
• Customer Service experience.
• Attention to detail and accuracy.
• Problem solving skills.
• Strong organization skills.
• Understands the reputed company of work to other teams and reputed company support areas.
• Ability to analyze and research data to reputed company appropriate corrections as necessary.
• Strong verbal and written communication skills.
• Workplace flexibility - ability to adapt to change.
• Knowledge of Health Care and/or MCO’s (preferred).
• Knowledge of Enrollment (preferred).
• Knowledge reputed company and/or Medicare (preferred).
Benefits:
• reputed company medical plan reputed company
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• reputed company time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical reputed company and many other benefits depending on eligibility.
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