Hi,
We are looking for Healthcare Worker/Enrolment Specialist. Please go through the job description below and let me know if you’d like to apply for this position. In case if you are not looking, please share this job with anyone you might know who is available for a new job. Feel free to reach me @732-592-4312 for any questions.
Job Title - Healthcare Worker/Enrolment Specialist
Job Location – Tempe, AZ
Long Term Contract Position
Job Duties:
- Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes:
- Enrollment file errors, ID card generation errors, PCP assignments and, 834 enrollment files to vendor/third-party administrators.
- Process COB eligibility through Molina application to ensure accurate information is represented in Molina's enrollment system.
- Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/dis-enrollment activity and Mass Member Moves.
- As needed is available to support special projects.
- Prioritizes daily, weekly, and monthly job tasks to support regulatory requirements and service level agreements.
- Displays imitative to complete assigned tasks timely and accurately and balances workload to assist peers and Supervisor.
- Provides knowledgeable response to internal and external inquiries regarding eligibility, ID cards, selection of primary, care provider, and state enrollment transactions.
- Reconciles eligibility with State Agencies using varied methods. Tracks and documents all transactions with State Agencies.
Basic Requirement:
- High School Diploma or GED equivalent.
- Attention to detail and a high level of accuracy.
- Ability to identify which form received and accurately follow appropriate workflow based on form number or type.
- English Language proficiency - Proficiency of 4 for reading and 3 for spoken/written.
- Strong data entry skills
- Typing expectations (40-50 WPM with 97.50% accuracy)
- Ability to work independently and use provided resources to seek solutions to problems.
- Well-developed analytical skills to evaluate and determine the appropriate course of action.
- At least 1 year of relevant work experience in US healthcare member enrollment (Medicaid, Medicare, or Commercial)
- Should possess the basic knowledge to work on MS offices tools. Demonstrated proficiency in computer navigation and functionality.
Thanks
