Home PageWho We Are and What We DoPhilosophyCareerContact Us
Core CompetenciesWorkforce SolutionsIT ServiceProducts

 

Apply this position, Click this link and attached your word version resume to us. Thank you!!!

Job#HN1002

Title: Eligibility Representative

Location: Woodland Hills, CA

Duration: Long-term

Pay rate: $12 - 14.00/hr

Start: ASAP

Job description

  • Enters Our Health Client system Eligibility data; New Enrollees, Disenrollments & any eligibility changes/updates. Maintains accurate eligibility records.
  • Maintains processing turn-around time & accuracy levels based on each responsibility guideline.
  • To become knowledgeable and keeping updated on the CMS Medicare Rules and Regulations as stipulated in Chapter 2 of the Operations Manual.
  • Call members to obtain or verify information.
  • Receive incoming calls from Customer Service, Members and other units within the company.
  • Responds to correspondence via Group e-mail box, IMAX, or personal e-mail updates or inquiries from internal depts.
  • Research information on Our Health Client members/subscribers to resolve issues and disputes.
  • Document backlog status on a daily basis.
  • Performs various non-production tasks as assigned by supervisor/lead on a scheduled rotation.
  • Works various CMS Medicare reports, including the Reply Report, Reconciliation report, etc.
  • Addresses discrepancies with group contacts and benefit administrators.

Skills Required:

  • High school diploma or equivalent required.
  • One to two years general work experience required.
  • Problem solving abilities.
  • Ability to operate PC based office software programs MS Word and MS Excel
  • Ability to type 35 wpm preferred.
  • Excellent written and oral communication skills required.
  • 10-key by touch
  • A minimum of 5,000 keystrokes per hour.

Apply this position, Click this link and attached your word version resume to us. Thank you!!!