Benefit Enrollment Specialist
4 weeks ago
A-Line Staffing is now hiring a Benefit Enrollment Specialist. This would be full time / 40+ hours per week.
If you are interested in this Benefit Enrollment Specialist Opportunity, please contact Michelle at 586-422-1171 or Mmansoor@alinestaffing.com
Benefit Enrollment Specialist Hours
· 730a – 4p (1 hour lunch)
· There is a requirement to work one day per month in the office – otherwise this is a remote role
Benefit Enrollment Specialist Compensation
- The pay for this position is $21.00-22.00 per hour
- Benefits are available to full-time employees after 90 days of employment
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Benefit Enrollment Specialist Responsibilities
- This position will assist with the development, maintenance, monitoring of the Medicaid Management Information System (PROMISe claims processing system) and enrollment management within the Electronic Client Information System (eCIS).
- The position will support member enrollment updates and the financial and Managed Cared subsystems to ensure compliance with Department of Human Services regulations, policies and payment timeliness.
- Maintain a general understanding of Medical Assistance program.
- Make updates and corrections for Managed Care (enrollment) based on reports and requests from MCO and other program offices.
- Support MCO capitation by validating payments are made correctly and promptly.
- Correcting payment errors for the capitation unit.
- Identify claims processing system related issues, communicate the issue to both program and technical staff.
- Work with technical staff to resolve issues and verify that the system issue has been resolved.
- Identify and share systematic changes that could possibly lead to increased productivity for state staff or business partners.
- Conduct business meetings including devising an agenda, leading discussions, documenting follow-up items, and preparing file notes for distribution to attendees.
- Use a variety of software packages to develop queries and prepare reports for analysis of reimbursement accuracy.
Benefit Enrollment Specialist Requirements
· Bachelor's degree in Human Services or Education Field; or any equivalent combination of experience and training that includes
· One (1) year of professional experience in developing, implementing or evaluating human services, sociology, public health, health care services, or health care insurance programs
If you think this Benefit Enrollment Specialist Position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting
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