About this opportunity
Apex Systems lists this Billing Membership Analyst opportunity in akron, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Healthcare Enrollment SpecialistLocation: Akron Ohio, Fully Onsite Monday - Friday3 Month Contract$17-19/HRThis role is responsible for managing and maintaining member eligibility, enrollment, premium billing, and claims-related transactions within healthcare systems while ensuring compliance with federal, state, and regulatory requirements. The position serves as a critical link between members, providers, employer groups, brokers, and internal operational teams to ensure accurate enrollment records, billing information, and healthcare coverage data.Core ResponsibilitiesEligibility & Enrollment AdministrationProcess, implement, and maintain member and group enrollment records in healthcare claims and eligibility systems.Ensure timely and accurate setup of new members, employer groups, and coverage updates.Review enrollment files, validate data accuracy, and resolve system-generated errors.Reconcile enrollment and billing data between internal systems and third-party vendors.Compliance & Regulatory OversightMaintain knowledge of healthcare regulations impacting enrollment, eligibility, and premium billing.Investigate and resolve transactions rejected by CMS, Health Insurance Marketplace systems, and other regulatory entities.Monitor operational processes for compliance risks and take corrective action when deficiencies are identified.Assist in developing and maintaining policies, procedures, and workflows that support regulatory compliance.Data Analysis & Quality AssuranceAnalyze enrollment, eligibility, and billing data to identify inconsistencies, trends, and operational issues.Conduct audits and quality reviews of files exchanged with external vendors and partners.Research discrepancies and recommend solutions to improve accuracy and efficiency.Perform data reconciliation activities to ensure system integrity and compliance.Customer Service & Stakeholder SupportProvide support to members, providers, employers, brokers, and internal teams regarding:Eligibility and enrollment statusPremium billing inquiriesCoordination of benefitsPrimary care provider assignmentsAddress and demographic updatesRespond to inquiries received through phone, email, portals, and workflow management systems.Document client interactions and ensure requests are routed to the appropriate departments for resolution.Operational SupportManage inbound support requests and maintain accurate records within document management systems.Process, organize, and batch correspondence for electronic storage.Work independently on assigned tasks while collaborating with cross-functional teams to meet departmental objectives.Support continuous improvement initiatives focused on operational accuracy and customer satisfaction.Key QualificationsExperience1+ year of experience in one or more of the following:Healthcare enrollment or eligibility processingClaims administrationHealthcare operations supportData auditing and reconciliationCustomer service within a healthcare environmentTechnical SkillsBasic proficiency with Microsoft Excel, Word, and Access.Experience working with claims, enrollment, eligibility, billing, or healthcare administration systems.Ability to type at least 35 WPM with high accuracy.Critical CompetenciesStrong analytical and problem-solving abilities.Exceptional attention to detail and proofreading skills.Ability to interpret data and make informed recommendations.Strong organizational and time-management skills.Excellent verbal and written communication skills, including interaction with leadership.Ability to handle confidential health and business information.Sound judgment and the ability to work independently in a fast-paced, changing environment.
Worksite address
akron, OH, 44301, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.