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
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