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Healthcare Service Center Rep - 8 week Contract

Eingestellt von Enclipse Corp.

Gesuchte Skills: Support, Sales

Projektbeschreibung

HEALTHCARE SERVICE CENTER REP

Description:
To work as a team member of the California Service Center (CSC) which is the Membership Accounting and Contracts Administration functions for the California Division. The overall objectives of this position is to perform the account maintenance, billing, reconciliation, reporting and customer service related activities. Duties also include performing database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers, to generate and distribute contracts and member I.D. cards, to provide facilities support and to enter documents into the workflow imaging system.

ACCOUNTABILITIES:
Identifying, researching and reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue and membership records
Setting up and maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments and terminations
Supporting eligibility inquiries
Ensuring bills are correct and mailed timely
Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing. Resolving related problems
Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting
Conducting audits of purchasers with large payment variances, unallocated payments or other specified criteria. Resolving payment discrepancies and delinquencies
Ensuring purchasers compliance with Health Plan policies and contractual provisions
Preparing reports and managing purchaser correspondence
Receiving, entering data, reviewing, researching balancing, and applying daily purchaser deposits and sources from the bank in a timely and accurate fashion
Assisting with the production and distribution of payment-related reports required by purchasers and management, and by operating and maintaining printers and other related peripheral equipment
Supporting Medicare processing and reporting requirements
Ensuring that changes to contract are quickly and accurately updated in the contract systems
Assisting with the production and distribution of contracts and related notices for new and renewing purchasers and individuals
Answering, researching, issuing and resolving problems related to medical records numbers (MRN) and performing any required follow up activities on a 24 hour per day, 7 day a week basis.
Processing purchasers eligibility reported electronically by coordinating the exchange of media with groups and Information Services, resolving problems, maintaining and operating related equipment and maintaining supporting logs/records
Identifying, coding, batching, scanning and indexing documents for imaging
Providing office services support including but not limited to picking up, sorting and delivering mail, filing and retrieving documents, ordering and distributing office supplies, performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance
Working with internal and external customers and vendors to resolve any issues related to support services activities
Collecting and monitoring productivity and customer service quality measures
Participating team-based projects and contributing to customer service and operations improvements initiatives
Assisting with training as required
Facilitating communications across all lines of business and with other Kaiser Permanente departments
Participating in purchasers performance evaluations and performance target setting activities
Perform other duties as they are assigned

REQUIREMENTS:
Minimum of 2 years experience in accounting, finance or related field preferred
Proficiency in math, data entry, typing, spelling and grammar, for which tests are required
Demonstrated ability to work in a team-based environment
Successful customer service track record
Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems
Ability to communicate clearly and professionally
Computer experience preferably in a PC windows based environment
Willing to learn new tasks and adapt to new business requirements
Excellent conflict resolution and decision making capabilities
Ability to work productively at multiple tasks
Ability to adapt to change and be flexible in shifting priorities
Experience with operations of peripheral equipment, such as printers or magnetic tape equipment, and knowledge of operating systems commands such as MVS/ESA and JES2 Mainframe application, and tape management systems preferred
Experience with Mainframe application and computer transaction processing preferred

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    Marketing/Vertrieb, Sonstiges

  • Skills:

    support, sales

Enclipse Corp.