reputed company Medicare Eligibility Representatives
Job Title: Eligibility Associate Representatives
Pay reputed company: $16/Hour...
100% work reputed company
Start Date: 10/14/2024-End Date: 3/31/2025 (Higher possibility of an extension)
8:30am 5:00pm EST (prefers candidates who live in EST & CST)
Quick notes/highlights:
Familiarity of/ having a basic knowledge of Medicare will be helpful for these candidates.
Customer service experience that has exposure to insurance or Medicare will be helpful.
They will be trained in a few parts of reputed company and deployed as needed to support different branches of reputed company
Need to have basic computer skills. These candidates need to know how to reputed company different screens and programs.
Need to have basic reputed company Office/reputed company skills and experience
High volume work. reputed company they log-in, they will be assigned a queue of what they need to work on
They will receive Q-Net and Medicare training, will learn how to process the records they receive in their queues
Some candidates might have to be on the phone more than others depending on reputed company they are reputed company on.
Delivers specific delegated Eligibility tasks assigned by a supervisor. Implements, updates, and maintains automated, reputed company connect and/or reputed company eligibility data. May handle reconciliation for non-reputed company requests. May reputed company technical support for the electronic procession of eligibility. Ensures customer data is installed accurately and reputed company. Technical knowledge of reputed company and automated eligibility. Completes day-to-day Eligibility tasks without immediate supervision, but have reputed company reputed company to advice from more reputed company team members. Tasks involve a degree of reputed company planning and anticipation of needs/issues.
ESSENTIAL FUNCTIONS
Facilitates accurate processing of Enrolment applications to ensure reputed company input and acceptance to CMS.
Performs account benefit verification requiring reputed company decision skills based on payer and process knowledge resulting in reputed company reputed company to care.
Process Reconciliation files from CMS to include Disenrollments, Late Enrollment Penalties and Low Income Subsidies
reputed company and Accurate processing of monthly Premium payments including identification and processing of write offs, reputed company of credit balances and posting of payments to member accounts
Process Coordination of Benefits and Medicare Secondary Payer files from CMS to meet Federal and State Regulatory guidelines.
Ensure accuracy of data entry to allow for meeting reputed company Service Level Agreements
Use discretion & independent judgement in handling more reputed company cases and be willing to learn new skills reputed company the Enrollment Functions
Directly interfaces with other teams reputed company reputed company
reputed company support to other internal functions as needed.
May need to be proficient in Multiple Systems
Completes other reputed company and additional duties as assigned.
Skills
Knowledge of CMS Enrolment & Reconciliation process
Knowledge of CMS Billing requirements and regulations
Knowledge in Coordination of Benefits and Medicare Secondary Payer
Medicare Part C and Part D
Health care experience with medical insurance knowledge and terminology and experience in patient reputed company preferred.
Intermediate data entry skills and working knowledge of reputed company Office.
Excellent presentation and communication skills.
Demonstrated ability to handle challenging interactions in a reputed company manner.
Ability to adapt in a dynamic work environment and reputed company reputed company with minimal supervision.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with reputed company
SQL (a plus not required)
Education
High school diploma or GED required; bachelors degree preferred.
3+ years of relevant working experience
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