Responsible for eligibility entered into the database system. Duties include being able to accurately process enrollments/disenrollment, deletions, changes, reactivations, and contact service forms within the department. Responsible for the coding, approving or denying eligibility of potential members. Responsible for auditing and updated adjustments or corrections directly in Facets. Responsible for the daily import and export of eligible members. Communicates and coordinates eligibility issues or questions with external and internal customers on a daily basis. Research, answer and clarify any questions regarding the eligibility of members. Must meet and maintain set eligibility efficiency and accuracy standards. Performs other duties as assigned.
Minimum Education: AAS degree preferred. Equivalent education and experience may be considered.
Minimum Experience: 1-2 years relevant insurance, medical or healthcare experience. Related experience and or education may be considered.
" Excellent computer experience, accurate keyboarding and analytical skills required.
" Excellent customer service/telephone skills and ability to deal with stressful phone calls in a calm and diplomatic manner.
" Familiarity with healthcare benefits and/or medical terminology.
" Strong written and verbal communication skills.
" Experience in positions requiring strict adherence to confidentiality.
" Intermediate skill set for Excel and Word
" Ability to work independently
" Access skills
" Familiarity with Facets
MVP Health Care - 14 months ago
MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...