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Job description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
-Enters enrollee data and clinical information into Market Prominence (MP) and ensures the
completeness and accuracy of the demographic information to successfully manage and report outcomes toleadership and to governing bodies.
-Functions in tandem with teammates to ensure all NTUCs are closed promptly upon receiving formal NTUC note.
-Accurately enters request for service authorizations into HealthRules Health Rules Payor in
accordance to department guildelines.
-Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP.
-Provides exceptional customer service during phone calls received and outgoing on the ACD line.
High School diploma
Bachelor's degree preferred
With Bachelor's degree; minimum of one year of experience in Managed Care, provider billing, and/or customer service.
Without Bachelor's degree, minimum of three (3) years of experience, as above
Knowledge of Microsoft Office
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.