AR/Enrollment Specialist I

Company: Intermountain Healthcare
Location: Cranston
Posted on: May 7, 2022

Job Description:

Job Description:Responsible for providing superior customer service while independently completing Enrollment and Accounts Receivable functions including analyzing, researching, and problem solving. Has a general understanding of enrollment and billing processes and procedures; responsible to resolve customer phone inquiries. Responsible for completing daily reports as assigned.Job Essentials

• Receives incoming calls from SelectHealth customers, both internal and external, and provides superior customer service for routine phone calls that is consistent with company values and quality standards.
• Resolves customer's issues on the initial call or provides timely follow-up when additional research is required.
• Complies with established criteria for response time, handling time, availability, call flow, and production standards.
• Certifies knowledge by passing audits.
• Stays current on and has a full understanding of Enrollment / Billing policies and procedures to provide accurate and appropriate information.
• Moves through multiple complex computer systems with minimal supervision.
• Answers questions, takes payments, and educates members and groups regarding billing and payment processes.
• Makes routine outbound phone calls to notify members of delinquent accounts or changes in their rates.
• Helps members enroll in the online billing and payment system.
• Maintains the confidentiality of member's personal information to be compliant with internal confidentiality policy. Maintains customer history in member tracking by entering detailed comments.
• Answers questions about eligibility errors and works with appropriate resources to correct any errors. Conference calls with members and marketplaces to request corrections to enrollment. Maintains a basic understanding of CMS regulations.
• Processes different departmental routine reports as assigned.
• Verifies if customer meets requirements necessary to qualify for a reinstatement review or retro review and fills out required documentation to start the process.
• Researches routine issues or concerns and makes suggestions for operational improvements.
• Works closely with other departments to correct billing and enrollment errors.Minimum QualificationsCompletion of two years college level accounting courses with a demonstrated understanding of accounting principles and practices. Education must be obtained through an accredited institution. Education is verified.

• or -One years of customer service experience,
  • and -Demonstrated strong organizational skills and attention to detail, and the ability to resolve conflicts.
    • and -Demonstrated excellent communication skills.
      • and -Demonstrated intermediate computer skills in spreadsheets and word processing software.
        • and -Demonstrated abilities to be self-motivated and work well under pressure.
          • and -Demonstrated ability to interact with internal and external customers professionally while maintaining a high level of confidentiality.Preferred QualificationsThree years of customer service experience.
            • and -Three years of Accounts Receivable or Enrollment experience.Physical Requirements:Interact with others requiring the employee to communicate information.
              • and -Operate computers and other office equipment requiring the ability to move fingers and hands.
                • and -See and read computer monitors and documents.
                  • and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.Location:SelectHealth - IdahoWork City:MeridianWork State:IdahoScheduled Weekly Hours:40Equal Opportunity EmployerIntermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply.Thanks for your interest in continuing your career with our team!SDL2017

Keywords: Intermountain Healthcare, Cranston , AR/Enrollment Specialist I, Other , Cranston, Rhode Island