Member Enrollment Coordinator II – Remote Job Vacancy in Intermountain Healthcare Murray, UT – Latest Jobs in Murray, UT – updated today

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Company Name : Intermountain Healthcare
Location : Murray, UT
Position : Member Enrollment Coordinator II – Remote

Job Description : Job Description: Responsible for the creation and maintenance of Government and/or Commercial member eligibility records, providing phone support, resolve more complex eligibility discrepancies and questions, in alignment with the SelectHealth Service Commitments. Acts as mentor and resource for level I team members.

Job Essentials 1. Adheres to enrollment policies necessary for maintaining member eligibility records in specific systems. 2. Verifies member eligibility data received is in accordance with the contract. 3. Interacts with external sources to resolve incorrect or missing information required to enroll or make changes to a member’s eligibility. 4. Upholds SelectHealth standards for defined service level agreements. 5. Complies with government regulations to meet or exceed audit process and protocols. 6. Maintains company phone standards while researching and resolving internal/external customer calls. 7. Works closely with other departments to ensure compliance with COBRA, HIPAA, Federal and State laws, and company policies and procedures. 8. Analyzes and resolves complex eligibility discrepancies resulting in the correct final result with the understanding of the financial impact. 9. Communicates verbally and in writing with internal and external customers. 10. Adapts to changing processes and environments. 11. Audits and reconciles multiple electronic eligibility transactions per member resulting in the correct final result with understanding of the financial impact. 12. Serves as a resource for level I team members as needed (backup, questions, mentor, training, etc). 13. Assists and provides feedback on testing of new applications or changes to existing system. 14. Supports the Enrollment team with system functionality issues by initiating changes as needed and facilitating problem resolution. 15. Serves an intricate role on committees representing the Enrollment department. 16. Runs and distributes eligibility audit queries.

Entry Rate: $18.16 + depending on experience
Benefits Eligible: Yes – Medical, Dental, Vision, Tuition Assistance, etc
Shift Details: Full Time; Business Hours

Minimum Qualifications Two years experience working with or tracking various pieces of eligibility information, benefit information, or employee data. – and – Three years of customer service experience. – and – Demonstrated data processing skills with ten key score of 100 spm and typing speed of 60 wpm. – and – Demonstrated intermediate skills with spreadsheets, word processing, and databases. – and – Demonstrated fundamental knowledge of billing and account receivable functions. Preferred Qualifications Function well in difficult situations including conflict resolution in a team environment. – and – Proficient in Facets or similar eligibility system. – and – Experience with Federal and State regulations which govern SelectHealth policies and procedures. – and – Intermediate knowledge of billing reconciliation processes. – and – Able to maintain a high level of confidentiality. – and – Demonstrate the ability to take on a leadership role and act as a resource to internal and external customers. – and – Strong knowledge of billing reconciliation process. – and – Understanding the functions of underwriting, compliance and sales. – and – Experience dealing with HIPAA and COBRA laws and policies.

Physical Requirements:
SH only Interact with others requiring the employee to communicate information. – and – Operate computers and other office equipment requiring the ability to move fingers and hands. – and – See and read computer monitors and documents. – and – Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location: SelectHealth – Murray

Work City: Murray

Work State: Utah

Scheduled Weekly Hours: 40

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