Job description

*Position can be fully remote, but would need to go in office on Day 1.

Overview:

The overall objective of this position is to perform the account maintenance, billing, reconciliation, reporting and/or customer service related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers, to generate and distribute contracts and member I.D. cards, to provide facilities support and to enter documents into the workflow imaging system

ACCOUNTABILITIES:

• Identifying, researching and reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue and membership records;
• Setting up and maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments and terminations;
• Supporting eligibility inquiries; Ensuring bills are correct and mailed timely;
• Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing. Resolving related problems;
• Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting;
• Resolving payment discrepancies and delinquencies;
• Identifying, coding, batching, scanning and indexing documents for imaging;
• Providing office services support including but not limited to picking up, sorting and delivering mail, filing and retrieving documents, ordering and distributing office supplies, performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance;
• Working with internal and external customers and vendors to resolve any issues related to support services activities;
• Collecting and monitoring productivity and customer service quality measures;
• Participating team-based projects and contributing to customer service and operations improvements initiatives;
• Assisting with training as required; - Facilitating communications across all lines of business and with other departments; - Participating in purchasers performance evaluations and performance target setting activities;
• Perform other duties as they are assigned

The ideal candidate will possess the following qualifications:

• Education: High School Diploma
• Years of Experience: 2+ years of general work experience
• Top 3 Skills on exam: Data entry, Learning potential, Thoroughness

REQUIREMENTS: - Proficiency in math, data entry, typing, spelling and grammar, for which tests are required; - Demonstrated ability to work in a team-based environment; - Successful customer service track record; - Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems; - Ability to communicate clearly and professionally; - Computer experience preferably in a PC windows based environment; - Willing to learn new tasks and adapt to new business requirements; - Excellent conflict resolution and decision making capabilities; - Ability to work productively at multiple tasks; - Ability to adapt to change and be flexible in shifting priorities

Job Type: Contract

Pay: $22.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance
• Work from home

Shift:

• Day shift

Weekly day range:

• Monday to Friday

Work setting:

• Hybrid remote

Work Location: Hybrid remote in San Diego, CA 92108

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