Back to Job Search

Healthcare Process Associate - Remote

Posted 5 days ago

  • Expiry Date: 22 October 2022
  • Referral: 211121@accuick.com

Job Description:

Basic Requirement:

  • Attention to detail and a high level of accuracy.

  • Ability to identify which form received and accurately follow appropriate workflow based on form number or type.

  • English Language proficiency - Proficiency of 4 for reading and 3 for spoken/written

  • Strong data entry skills Typing expectations (40-50 WPM with 97.50% accuracy)

  • Ability to work independently and use provided resources to seek solutions to problems.

  • Well-developed analytical skills to evaluate and determine the appropriate course of action.

  • At least 1 year of relevant work experience in US healthcare member enrollment (Medicaid, Medicare, or Commercial)

  • Should possess the basic knowledge to work on MS offices tools.

  • Demonstrated proficiency in computer navigation and functionality

Responsibilities:

  • Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes:

  • Enrollment file errors, ID card generation errors, PCP assignments and, 834 enrollment files to vendor/third-party administrators.

  • Process COB eligibility through Molina application to ensure accurate information is represented in Molina's enrollment system Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/dis-enrollment activity and Mass Member Moves.

  • As needed is available to support special projects Prioritizes daily, weekly, and monthly job tasks to support regulatory requirements and service level agreements.

  • Displays imitative to complete assigned tasks timely and accurately and balances workload to assist peers and Supervisor.

  • Provides knowledgeable response to internal and external inquiries regarding eligibility, ID cards, selection of primary, care provider, and state enrollment transactions.

  • Reconciles eligibility with State Agencies using varied methods.

  • Tracks and documents all transactions with State Agencies.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.