Humera - Administrative and Professional Staffing

Billing, Enrollment & Reconcilation Specialist

7 days left

Location
Minnetonka, MN, United States
Salary
Contact For Rate
Posted
Aug 09, 2017
Closes
Aug 24, 2017
Job Type
Employee
Employment Status
Full Time
Humera is seeking one Government Billing, Enrollment & Reconciliation Specialist to who will support Medicaid and Medicare with a special project. This is a long term contract opportunity at our client in Minnetonka.
    The ideal candidate has prior experience in Government enrollment, has strong interpersonal skills, attention to detail, analytical skills, ability to prioritize & stay organized to meet deadlines, and work independently once trained.
    Duties:
    • Maintenance of operational and business processes that support efficient and compliant administration of billing, enrollment and reconciliation for government products
    • Organize and send mail/letter communications to new members, MN counties, Care Coordinators
    • Verify members are aligned to appropriate product and benefit set then provide reporting to Medica leadership, care systems, and/or regulatory agencies
    • Responsible for Department of Human Services (DHS) communications and changes by working with Care Coordinators
    • Update spreadsheets and internal systems with any member changes and updates
    • Manage mailbox for receipt, loading and reconciliation of Medicaid enrollment files from regulatory agencies, Care Coordinators and external vendors

    Requirements:
  • Detail oriented
  • Ability to function independently and as a team player
  • Quick learner
  • Excellent communication skills
  • Strong interpersonal and relationship building skills
  • Solid collaboration skills and ability to hold vendors and other internal departments accountable
  • Strong drive for results and accountability
  • Ability to understand big picture with attention to detail
  • Demonstrated ability to handle and prioritize multiple projects and issues
      Education
  • Minimum education level required to qualify for the position: Bachelor's degree or equivalent experience
  • 1-2 years of experience in health insurance or managed care environment

More jobs like this