Medicare Enrollment Reconciliation and System Specialist
VIVA Health - Birmingham, AL

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The MEDICARE ENROLLMENT RECONCILIATION AND SYSTEM SPECIALIST is responsible for payment reconciliation of Medicare and Medicaid payments to the plan for members in special statuses including follow up with he respective agency and/or the member. This position is also responsible for software testing and documentation of suspected system issues, and will serve as backup for the Medicare Premium Specialist position.

Position Requirements

  • High School Diploma or GED
  • 2 years Medicare Enrollment, reconciliation, and/or quality review experience
  • Proficiency in Excel, Word and Access
  • Above average data entry skills
  • Ability to work under pressure to meet deadlines with little to no supervision
  • Ability to work independently, research and resolve issues in a timely manner with little to no follow-up
  • Excellent customer service skills demonstrated through written and verbal communication
  • Ability to clearly identify and document issues or errors found
  • Bachelor’s Degree
  • Medicare Managed Care experience
  • AS400/DST/PowerSTEPP (TXEN) or similar mainframe experience
  • Voyager system experience

VIVA Health - 2 years ago - save job - copy to clipboard
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