1 день назад
Consumer Service Operations Professional (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Consumer Service Operations Professional (Healthcare): Processing Medicaid member correspondence, including enrollment forms, eligibility documentation, claims communications, and related mail, with an accent on accurate data entry, confidentiality, and compliance with Medicaid requirements. Focus on reviewing and routing member communications, tracking mail status, resolving processing issues, and working independently during Eastern Time business hours.
Location: Remote across the U.S.; occasional travel to offices may be required for meetings or training. Work weekdays from 8:00 AM to 5:00 PM Eastern Time.
Unpaid internship; scheduled for 1 hour per week.
Company
is a U.S. healthcare company providing insurance and healthcare services to Medicare and Medicaid members, families, individuals, and communities.
What you will do
- Receive, sort, process, and distribute Medicaid member correspondence.
- Review and route incoming member communications appropriately.
- Process enrollment forms, eligibility documentation, claims-related communications, and other member records accurately and on time.
- Track mail status and maintain the confidentiality of member information under HIPAA requirements.
- Collaborate with other teams to resolve mail-processing issues and support Medicaid program compliance.
- Prioritize administrative requests and adapt procedures with limited guidance.
Requirements
- Eligibility for the DoW SkillBridge program as a transitioning service member or eligibility for the Military Spouse Career Accelerator Fellowship.
- At least one year of customer service experience, including typing and data entry.
- Professional healthcare experience or education in a healthcare discipline.
- Excellent verbal, listening, and written communication skills.
- Proficiency in Microsoft Office, Outlook, and Word.
- Computer proficiency, attention to detail, and the ability to learn multiple systems, screens, and databases quickly.
Nice to have
- Experience with CGX, Excel, or QuickBase.
- Associate's or Bachelor's degree.
- Healthcare clerical support experience or Medicaid experience.
- Medical terminology knowledge.
- CNA or Medical Assistant background.
Culture & Benefits
- Remote work-from-home arrangement with occasional office attendance for meetings or training.
- Dedicated, interruption-free workspace required to protect member PHI and HIPAA information.
- Internet connection of at least 25 Mbps download and 10 Mbps upload required.
- Telephone equipment is provided for business needs.
- Networking opportunities are available during the internship or fellowship.
- The program typically provides civilian work experience for approximately 90 days or up to 12 weeks, but full-time employment after completion is not guaranteed.
Hiring process
- Applicants who pass the prescreen may complete a prerecorded voice interview or SMS text interview through HireVue.
- Selected applicants may be asked to provide their Social Security number through 's secure application website.
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