![Imagine360](https://media.trabajo.org/img/noimg.jpg)
Eligibility Billing Representative
2 months ago
Imagine360 is currently seeking an Eligibility Billing Representative The Eligibility Billing Representative is responsible for maintaining the eligibility of employees and dependents, processing new groups and monthly premium billings and payments. Also provides support and assists Account Management Support and Account Managers with projects and activities by performing general clerical and administrative duties by using computer hardware and software to review documents, input data and generate reports.
Position Location: 100% Remote
Responsibilities include but are not limited to:
- Examines enrollment forms and interprets plan documents to determine eligibility.
- Processes new groups for Admin; preparing folder, folder sheet, excel spreadsheet for distribution.
- Sets-up first billing and scanning new group information into Docushare.
- Updates adds, changes, and terminations of employees on GBAS system.
- Posts payments to accounts by bilingual group and scans billings and payments to Docushare.
- Provides accounting with breakdown on billing to distribute revenues received.
- Provides PBM with adds, changes, and terminations.
- Receives and checks PBM cards and mail with cover letter to groups.
- Runs various reports as needed and requested by supervisor.
- Reviews initial eligibility of new groups once loaded in GBAS and checks for accuracy.
- Monitors web adds, terminations and changes.
- Updates eligibility on Conexis system.
Required Education and Experience:
- High School Diploma or GED
- 2 years of group health insurance and/or eligibility experience preferred.
- Intermediate knowledge of word processing software; spreadsheet software; Internet software; and database software
What can Imagine360 offer you?
- Multiple Health Plan Options, including a 100% employee paid premiums
- 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
- Parental Leave Policy
- 20 days PTO to start / 10 Paid Holidays
- Tuition reimbursement
- 401k Company contribution
- Professional development initiatives / continuous learning opportunities
- Opportunities to participate in and support the company's diversity and inclusion initiatives
Want to see our latest job opportunities? Follow us on LinkedIn
Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**
We have other current jobs related to this field that you can find below
-
Personal Lines Account Manager
4 weeks ago
Honey Brook, United States Seltzer Group Partners LLC Full timeJob DescriptionJob DescriptionAbout Us Founded in 1948, Seltzer Group Partners offers businesses and people the best insurance programs available, delivers superior risk-management solutions and provides exceptional thought leadership. Our mission is to change the way our clients view insurance and manage risk. This enables us to deliver the highest-quality...
-
Personal Lines Account Manager
4 weeks ago
Honey Brook, United States Seltzer Group Partners Full timeAbout UsFounded in 1948, Seltzer Group Partners offers businesses and people the best insurance programs available, delivers superior risk-management solutions and provides exceptional thought leadership. Our mission is to change the way our clients view insurance and manage risk. This enables us to deliver the highest-quality coverage that protects what...
-
Patient Access Representative
3 weeks ago
Stony Brook, United States Stony Brook University Full timePosition Summary At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial Screening and Verification, and patient throughput. Qualified...
-
Billing Follow Up Rep I
2 months ago
Oak Brook, United States Advocate Health Full timeMAJOR RESPONSIBILITIESIndependently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge...
-
Billing Follow Up Rep I
1 week ago
Oak Brook, Illinois, United States Advocate Health Full timeMAJOR RESPONSIBILITIESResponsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate responsible parties. Acts as a resource person, assists teams with more complex issues, works with team members to facilitate problem resolution and may provide training. May be involved in quality...
-
Billing Follow Up Rep I
1 week ago
Oak Brook, United States Advocate Health Full timeMAJOR RESPONSIBILITIESResponsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate responsible parties. Acts as a resource person, assists teams with more complex issues, works with team members to facilitate problem resolution and may provide training. May be involved in quality...
-
Patient Access Representative, Bed Management
3 weeks ago
Stony Brook, United States Stony Brook University Full timeJob Description - Patient Access Representative, Bed Management (2402119) Patient Access Representative, Bed Management At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks...
-
Medical Records Representative
1 month ago
Mountain Brook, United States PrideStaff Full timePrideStaff has clients in the area searching for experienced, proven individuals to assist with temporary, temporary-to-hire and direct hire positions. We are looking for people who are professional and who can represent any company well. PrideStaff can offer you a wide-range of rewarding career options. Whether you prefer the freedom and variety of...
-
Insurance Follow Up Representative
4 weeks ago
Oak Brook, United States The LaSalle Group Full timeAre you a meticulous Insurance Follow Up Representative with a knack for precision and a commitment to optimizing revenue cycles? This role is your chance to showcase your expertise in accurately processing payments and ensuring the financial health of the organization. Join us in the mission to provide exceptional healthcare services while advancing your...
-
Office Representative
3 months ago
Bound Brook, United States Marisella Gallardo - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewState Farm Insurance Agent located in Bound Brook, NJ is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Marisella Gallardo - State Farm Agent, you will build and develop customer relationships within the community to promote State Farm products including...
-
Customer Service Representative
3 months ago
Bound Brook, United States Marisella Gallardo - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewState Farm Insurance Agent located in Bound Brook, NJ is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Marisella Gallardo - State Farm Agent, you will build and develop customer relationships within the community to promote State Farm products including...
-
Customer Service Representative
5 days ago
Oak Brook, United States Banner Personnel Full timeJob DescriptionJob DescriptionContact Center Representative - Member ServicesTemp to Perm positionWe are looking to hire Customer Service Reps to work for well-established client in providing benefits and public pension funds for retirees. The primary responsibility of the Customer Service Rep is to act as liaison between the company and its customers...
-
Client Service Representative
1 month ago
Rye Brook, United States Sonic Healthcare Full timeJob Functions, Duties, Responsibilities and Position Qualifications: The Customer Service Representative position is an entry-level position to provide consistent service to our clients. The CSR provides service by responding to telephone inquiries from callers as they relate to health services. The CSR resolves product and service problems and offers...
-
Customer Care Representative
2 months ago
Oak Brook, United States Pls Financial Services, Inc. Full timeOverview: PLS: People. Location. Service PLSwhich stands for People Location - Serviceis a leading retail provider of alternative financial services. The PLS Group, headquartered in Chicago, is comprised of over 200 financial service centers in 12 states. Through our check cashing and our PLS Auto store, we provide consumers with convenient financial...
-
Customer Service Representative
3 weeks ago
Bound Brook, United States Marisella Gallardo - State Farm Agent Full timePosition Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only State Farm insurance and financial service products. Responsibilities Establish customer relationships and follow...
-
Client Service Representative
2 days ago
Rye Brook, United States CBLPath Full timeJob Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNA -- is it in yours? You are a superhero when it comes to patient specimens. You’ve got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You’re also looking for great benefits, the support of an all-star team, and...
-
Contact Center Representative
5 days ago
Oak Brook, United States Banner Personnel Full timeJob DescriptionJob DescriptionContact Center Representative - Member ServicesTemp to Perm positionSUMMARYThe primary responsibility of the Member Contact Center Representative is to act as liaison between the company and its customers (members, annuitants, and beneficiaries) to foster interactive, informed, and collaborative working relationships by...
-
Client Service Representative
12 hours ago
Rye Brook, United States CBL Path, Inc Full timeJob Functions, Duties, Responsibilities and Position Qualifications:Quality is in our DNA -- is it in yours?You are a superhero when it comes to patient specimens. You’ve got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You’re also looking for great benefits, the support of an all-star team, and an...
-
Client Service Representative
4 weeks ago
Rye Brook, United States CBL Path, Inc Full timeJob Functions, Duties, Responsibilities and Position Qualifications:Quality is in our DNA -- is it in yours?You are a superhero when it comes to patient specimens. You’ve got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You’re also looking for great benefits, the support of an all-star team, and an...
-
Customer Service Representative
3 months ago
Bound Brook, United States Marisella Gallardo - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewAre you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products.ResponsibilitiesEstablish...