Job description

Job Title: Eligibility Operations Advisor I

Location: - Crescent Ctr. Pky Suite 1100, Tucker, Georgia 30084 (Remote Work)

Duration: - 3 Month+ (Temporary to Direct)

Shift Timing: 8:00 AM - 5:00 PM (40 Hour in week) M-F

Rate: - $15/Hours

Required Function 1:

• The Eligibility Operations Advisor I is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments.
• Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing.

Main Duties &Responsibilities:

• Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
• Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families.
• Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
• Complete periodic reports.
• Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program. - Data entry to include accurate and timely entry of information.
• Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
• Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth

Required Function 2:

Required Skills:

• Ability to organize well.
• Ability to communicate both verbally and in writing, fluently in English.
• Ability to provide and represent professionalism in job.
• Ability to practice flexibility and adaptability in the workplace.
• Ability to work with Microsoft Word and Excel and navigate internet skillfully.
• Ability to analyze information and use logic and process to address work-related issues and problems.
• Ability to operate with strong interpersonal skills.
• Ability to be careful and thorough about detail.
• Ability to perform data entry accurately.
• Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines.
• Ability to handle conflict appropriately and constructively.
• Working knowledge of HIPAA privacy and Security rules.
• Ability to perform well in team environment.
• Ability to meet deadlines.

Required Education& Experience:

• High School Diploma or Equivalent
• Min. 2 year of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
• Min. 2-year experience working on the phone making inquiries(outbound) and answering calls (inbound).
• Knowledge of health care terminology is a plus.

Job Type: Contract

Salary: $15.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Customer service: 1 year (Preferred)

Work Location: Remote

Speak with the employer
+91 6306358229

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