Medicare Fulfillment Specialist
Medicare Fulfillment Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Medicare Fulfillment Specialist
100% Remote
Job Summary:
Responsible for analyzing and interpreting documentation received in Revenue Cycle from sales agents and employer groups to accurately setup and configure basic to moderately complex fullyfunded benefit options group structures and membership using the OnBase and Facets systems. Conducts moderately complex analysis of Facets and OnBase information to provide issue resolution and respond to inquiries related to group and member setup. Assists on project teams as assigned.
Essential Functions:
-
Analyze and interpret documentation received from Sales (EGI NGI Revisions Client Fact Sheet etc.) to determine Facets setup configuration and accurately build a variety of fullyfunded benefit options group structures and enroll members.
-
Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation phone calls written correspondence and approved form letters.
-
Participate in crossfunctional training opportunities and process improvement initiatives within Revenue Cycle during the nonpeak open enrollment periods.
-
Works under minimal direction guided by established policies and procedures.
-
Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group/member discrepancies.
-
Maintain a basic understanding of all internal and external computer systems and reports that impact the group setup and member enrollment process.
-
Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
-
Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.
Qualifications:
-
Required High School Diploma or equivalent
-
Preferred Associates Degree in business or health care related field
-
2 years of relevant experience in the healthcare industry or related field Required
-
Experience with FACETS Software in benefit and/or group configuration/maintenance or claims Preferred
Employment Type
Full Time
