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Eligibility Representative
2 months ago
"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".
Job Title: Eligibility Representative
Duration: 3 Months
Location: Remote
Pay rate: $18/hr on W2
Job Description:
NOTE: This is a virtual position and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
Overview:
- As an Eligibility Account Specialist, you would be responsible for all aspects of coordinating open enrollment files and file maintenance with automated eligibility processing. This may also include setups for clients who are switching vendors. This role will support clients specifically on the Facets platform that are managed by the Eligibility Services team within Client Operations.
Duties:
- Manage the end-to-end automated eligibility maintenance process for existing clients leveraging automated eligibility file feeds ensuring health of file and overall book of business.
- Work with internal and external clients on completion of all documentation required for open enrollment process.
- Load final files into production and generate reports to identify and resolve discrepancies.
- Communicate ongoing automated eligibility status to internal and external partners.
- Identify process improvement opportunities.
- Drive results with third party vendors to ensure timely access to care for clients/customers.
- Update all tracking tools, including Salesforce and Vista, with deliverables, completion dates, and status of accounts.
Skills & Experience:
- Diploma or equivalent.
- 3+ years of relevant working experience.
- 2+ years Health care experience with medical insurance knowledge/terminology and experience in patient access preferred.
- Exposure to Facets/electronic data interchange (EDI)/eligibility is preferred.
- Strong client/customer-centric focus and ability to work directly with clients, brokers and third-party vendors in a client-facing role.
- Strong technical, problem solving and analytical skills.
- Demonstrated ability to learn and apply knowledge.
- Ability to manage multiple and divergent priorities.
- Proficiency with multiple software and system-based applications.
- Excellent communication, interpersonal and organizational skills.
- High school.
3 Non-Negotiable Skills:
- Ability to prioritize and work efficiently.
- Work with high volume emails.
- Excellent communication skills.
About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities
ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.
