Enrollment Specialist- Medical Associates Health PlansMedical Associates, Dubuque, IA
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Our mission is to provide superior healthcare and an excellent patient experience.
Medical Associates Clinic is a well-established multispecialty group practice with over 170 providers and a staff of over 1,000 health care professionals and support personnel. The group was founded in 1924 and is Iowa’s oldest multispecialty group practice. Today, Medical Associates Clinic is the area’s leading health care provider and only multispecialty group practice. Medical Associates Clinic has been recognized since 1998 as a “better performing practice” by the Medical Group Management Association.
In 1982, Medical Associates developed the Tri-State’s first health maintenance organization, Medical Associates Health Plans, which offers comprehensive health benefits to over 400 employers and 45,000 members. Medical Associates Health Plans has maintained an “Excellent” rating, the highest level of accreditation possible by the National Committee for Quality Assurance, for 13 consecutive years.
Medical Associates Clinic offers several locations from which to seek medical care, including facilities at 1500 Associates Drive, 1000 Langworthy, and 1940 Elm Street in Dubuque, Iowa; as well as facilities in Bellevue, Cascade, Dyersville, Elkader, and Monona, Iowa; Cuba City, and Platteville, Wisconsin; and Elizabeth and Galena, Illinois.
Medical Associates Health Plans is looking for a full-time Enrollment Specialist to join our growing team. The schedule is Monday through Friday 8:00am and 5:00pm. We offer a competitive wages in addition to our excellent benefits package.
Assure prompt and accurate entry and set-up of enrollment, COBRA, groups and authorizations. Perform a variety of clerical duties in accordance with established procedures while providing excellent customer service to internal and external customers.
Essential Functions & Responsibilities:
Timely and accurate set up of new and/or maintenance of existing enrollment and/or groups in the claims processing system. Review Electronic Enrollment files and work error reports in a timely and consistent manner. Respond or distribute inquiries from our member/provider portal.
Perform COBRA administration by demonstrating proficient use of software, responding to enrollee and employer questions and performing monthly billing process and daily correspondence.
Entry of authorizations or other data in to the claims processing system and distribute authorization requests to appropriate work queue.
Perform a variety of clerical duties of a routine nature in accordance with established procedures, including but not limited to processing and entering of appeals, grievances and working with Credentialing Coordinator on clerical tasks.
Possess knowledge of all benefit plans and provide interpretation to potential and current members, brokers, providers, employers and Medical Associates staff. Respond to general phone inquiries in accordance with department standards. Resolve issues in a timely manner. Record call type and resolution required in the claims processing system.
Complete all other assigned projects and duties.
Knowledge, Skills and Abilities:
Experience: One to three years of similar or related experience.
Education: Equivalent to a high school education.
Other Skills: Excellent telephone presence. Familiar with Microsoft Office applications, particularly Word and Excel.
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Paid Sick Leave
|Years of Experience||1-2 Years|