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Eligibility Operations Advisor

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  • ID: 513239
  • Posted: 8/4/2022
  • Location: Atlanta, GA
  • Category: LI - General Labor
  • Job Type: Temp to Direct
  • Duration: 0 - 3 Months

Description

Acara solutions is looking for Eligibility Operations Advisor for our client located in Atlanta,GA

  • The Eligibility Operations Advisor I is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments.
  • Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing.
  • Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
  • Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families.
  • Assist in the identification of members that qualify for the HIPP/Premium Assistance program.
  • Complete periodic reports.
  • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
  • Data entry to include accurate and timely entry of information.
  • Obtain or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
  • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

Pay and Benefits:

  • The Salary for this position is $ 15.73 per hour (Max Pay rate).
 
Job Requirements

 
Required Skills / Qualifications:
  • High School Diploma or GED
  • Minimum of 2 years experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing
  • Minimum of 2 years experience in working on the phone making inquiries(outbound) and answering calls (inbound).
Preferred Skills / Qualifications:
  • Knowledge of health care terminology 
  • Ability to organize well.
  • Ability to communicate both verbally and in writing, fluently in English.
  • Ability to provide and represent professionalism in job.
  • Ability to practice flexibility and adaptability in the workplace.
  • Ability to work with Microsoft Word and Excel and navigate internet skillfully.
  • Ability to analyze information and use logic and process to address work-related issues and problems.
  • Ability to operate with interpersonal skills.
  • Ability to be careful and thorough about detail.
  • Ability to perform data entry accurately.
  • Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines.
  • Ability to handle conflict appropriately and constructively.
  • Working knowledge of HIPAA privacy and Security rules.
  • Ability to perform well in team environment.
  • Ability to meet deadlines.

Additional Information:

  • Upon offer of employment, the individual will be subject to a background check and a drug screen


Aleron companies (Acara Solutions, Aleron Shared Resources, Broadleaf Results, Lume Strategies, TalentRise, Viaduct, and Aleron's strategic partner, SDI) are Equal Employment Opportunity and Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity, sexual orientation, national origin, genetic information, sex, age, disability, veteran status, or any other legally protected basis. The Aleron companies welcome and encourage applications from diverse candidates, including people with disabilities. Accommodations are available upon request for applicants taking part in all aspects of the selection process.

Applicants for this position must be legally authorized to work in the United States. This position does not meet the employment requirements for individuals with F-1 OPT STEM work authorization status.
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