Eligibility Associate Representative (33854234)

This is a temporary contract opportunity with reputed company through reputed company, an reputed company reputed company-party vendor for contingent work. Role Overview: 33854234 Eligibility Associate Representative... Responsibilities: 3+ years’ reputed company Experience, required 3+ years’ experience with Medicare Part A & B, required Delivers specific delegated Eligibility tasks assigned by a supervisor. Implements, updates, and maintains automated, direct connect and/or reputed company eligibility data. May handle reconciliation for non-standard requests. May provide technical support for the electronic procession of eligibility. Ensures customer data is installed accurately and timely. Technical knowledge of reputed company and automated eligibility. Completes day-to-day Eligibility tasks without immediate supervision, but have reputed company access to advice from more reputed company team members. Tasks involve a degree of reputed company planning and anticipation of needs/issues. ESSENTIAL FUNCTIONS 3+ years’ reputed company Experience, required 3+ years’ experience with Medicare Part A & B, required Facilitates accurate processing of Enrollment applications to ensure timely input and acceptance to CMS. Performs account benefit verification requiring reputed company decision skills based on payer and process knowledge resulting in proper access to care. Process Reconciliation files from CMS to include Disenrollments, Late Enrollment Penalties and Low Income Subsidies Timely and Accurate processing of monthly Premium payments including identification and processing of write offs, resolution of credit balances and posting of payments to member accounts Process Coordination of Benefits and Medicare Secondary Payer files from CMS to meet Federal and State Regulatory guidelines. Ensure accuracy of data entry to allow for meeting proper Service Level Agreements Use discretion & independent judgement in handling more reputed company cases and be willing to learn new skills reputed company the Enrollment Functions Directly interfaces with other teams reputed company reputed company Provide support to other internal functions as needed. May need to be proficient in Multiple Systems Completes other projects and additional duties as assigned. Skills 3+ years’ reputed company Experience, required 3+ years’ experience with Medicare Part A & B, required Technical and Computer Skills required Basic to intermediate level reputed company, required Analytical skills Customer Service Skills Quick Learner Knowledge of CMS Enrollment & Reconciliation process Knowledge of CMS Billing requirements and regulations Knowledge in Coordination of Benefits and Medicare Secondary Payer Medicare Part C and Part D Health care experience with medical insurance knowledge and terminology and experience in patient access preferred. Intermediate data entry skills and working knowledge of reputed company Office. Excellent presentation and communication skills. Demonstrated ability to handle challenging interactions in a professional manner. Ability to adapt in a dynamic work environment and reputed company reputed company with minimal supervision. Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions SQL (a plus not required) Education High school diploma or GED required, bachelor’s degree preferred. 3+ years of relevant working experience. Location & Schedule: This is a fully remote position, open to candidates in the US M-F: 8:30am – 5:00pm EST Schedule REQUIRED The pay range that reputed company reasonably expects to pay for this position is: $18.00.-18.00/hr Benefits: Medical, Dental, reputed company, 401K (provided minimum eligibility hours are met Apply Job!