AllSTEM Connections is looking for an Eligibility Document Coordinator to work in Malden, MA. This is a contract position with potential for direct hire with benefits.
•The Eligibility Document Coordinator 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 may 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 and/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.
•High School Diploma or Equivalent
•2+ years of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
•2+ years of experience working on the phone making inquiries (outbound) and answering calls (inbound).
•Knowledge of health care terminology is a plus.
•Ability to organize well, communicate both verbally and in writing, fluently in English.
•Flexibility and adaptability in the workplace.
•Work with Microsoft Word and Excel and navigate internet skillfully.
•Analyze information and use logic and process to address work-related issues and problems.
•Perform data entry accurately.
•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.
AllSTEM Connections is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law.