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10May

Enrollment Specialist- Medical Associates Health Plans

Medical Associates, Dubuque, IA

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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. 

Role:
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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Job Details

Req Num 18-0062
ID 511517
Location
Dubuque, IA
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Health Care
Shifts
First Shift
Benefits
Health Insurance
Dental Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays

Preferred Candidates

Years of Experience 1-2 Years
Education High School/GED

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