Eligibility Specialist II
2 weeks ago
Bloom Value Corporation, a technology start-up based in Sacramento, CA, is seeking an Eligibility Specialist. The ideal candidate will analyze and review eligibility lifecycle, ensuring proper loading of health plan eligibility files and updating member eligibility as requested.
Key Responsibilities- Ensuring accurate loading of health plan eligibility files
- Updating member eligibility in a timely manner
- Conducting redetermination reviews with health plans
- Coordinating with health plans on necessary changes
- Loading new benefits annually and as needed
- Analyzing member termination reports for trends
- Correcting member addresses from returned mail
- Strong attention to detail
- Excellent oral and written communication skills
- Able to multitask in a fast-paced environment
- Developing and maintaining strong relationships with health plans
- Strong ownership of responsibilities
The successful candidate will possess a minimum of 3 years experience working in a managed care setting and proficiency with Microsoft Excel. Salary: $30-$50 per hour (dependent on experience).
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Eligibility Expert
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