Job Description: Your main responsibilities will be:
1) Call center and processing skills necessary (will be processing 80% of the time and will be making outbound phone calls to members 20%)
2) Accomplishes daily enrollment/ disenrollment operations, including application review, entering applications into system and submissions to CMS.
3) Obtains missing information for enrollment completion. Coordinates process within forty-five days.
4) Initiates corrections to CMS or RPC.
5) Finalizes annual member coverage (Working Aged) survey.
6) Reviews monthly CMS reports including: MMR, TRR, Plan Payment Report, and Demographic Report. Compares reports to eligibility file and resolves any discrepancies with member status data. Determines extent of and reason for discrepancy – quantify dollars, months, nuance of issue, etc.
7) Coordinates with Sales & Marketing department on initial application process.
8) Daily interaction with Medical Management department to assure accuracy of outgoing demographic and special status eligibility information.
Your work will enable the company to handle increased open enrollment volume.
Requirements and Qualifications: You will have a High School Diploma or GED, Minimum 1 year of related Call Center experience. Medicare background preferred! You will have demonstrated strong skills in Microsoft Outlook, Excel, and Internet Explorer. Must type a minimum of 45 wpm, be detail-oriented, and be highly organized, have excellent oral and written communication skills including good grammar, voice and diction, Be able to read and interpret documents. 8am to 8pm Monday through Saturday. Position pays $13.00
Kristina Doran
Client Service Manager
p: 813-449-4800 x2964
c: 813-404-5653
f: 813-289-3631
[email protected]
hiregy.com
