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  • San Francisco, CA

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Healthcare/Insurance Eligibility Project Coordinator

Maxim Healthcare Services • San Francisco, CA

Posted 2 months ago

Job Snapshot

Other Great Industries
Health Care

Job Description


Specific Duties: Eligibility Operations is responsible for uploading client eligibility, either electronically or manually, to support membership in three claim systems - OHBS Facets, COSMOS, and UNET. The candidate will work with the team who manually updates members eligibility via inquiries received in the department. 
1. Working as part of the eligibility team providing individual member support 
2. Analyzing and resolving errors 
3. Meeting turnaround times and accuracy metrics 
4. Data entry and maintenance of eligibility, making additions, changes, and terminations to employees and dependent data 
5. Manually updating of eligibility information on a timely basis and tracking, resolving, and reporting errors and problems directly to internal/external customers. 

Must have qualifications/experience: 
1. Proficiency with desktop office software/MS Office Word and Excel (Spreadsheet) required 
2. Demonstrated Customer Service Experience 
3. 2+ years data entry skills required 
4. Strong analytical and organization skills 
5. Healthcare and/or insurance background or knowledge of eligibility process 

Shift Start/End Time: 7:00 am to 3:30 pm 

Dress Code: Business Casual 

The candidate work will be 100% peer review until released from training, then will be audited through our QA Department. 

Here are some of the soft skills the ideal candidate should possess: 
- Excellent Work Ethic, 
- Good Time Management, 
- Interpersonal Skills, 
- Good Communication (verbal/written), 
- Team Work, Problem Solving, 
- Adaptability / Flexible with Change, 
- Attention to Detail
At Maxim Healthcare Services, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs 
*Benefit eligibility is dependent on employment status. 

Maxim Healthcare Services is a leading provider of home healthcare, medical-related staffing, travel nursing, and population health and wellness services across the United States. As an established community partner, we have been making a difference in the lives of our employees, caregivers, and patients for more than 30 years. Our commitment to customer service, improving patient care, and staffing experienced healthcare professionals has paved the way for many rewarding career opportunities in the healthcare industry.  

Maxim Healthcare Services, Inc. is an Affirmative Action/Equal Opportunity Employer

"Pursuant to the San Francisco Fair Chance Initiative, Maxim Healthcare will consider for employment qualified applicants with arrest and conviction records"

Job ID: 452504
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