Membership Representative

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POST DATE 9/12/2016
END DATE 10/24/2016

AppleOne Saint Paul, MN

Company
AppleOne
Job Classification
Full Time
Company Ref #
23179321.1881
AJE Ref #
576145636
Location
Saint Paul, MN
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

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A large health care company located in Eagan is seeking a Membership Representative to add to their team. This is a contract to hire full time position. The hours are M-F 8-4:30 with a compensation of $14/hour depending on qualifications.


SUMMARY: Responsible for group enrollment, billing activities and maintaining assigned accounts.

MAJOR JOB DUTIES AND RESPONSIBILITIES: Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions or concerns received by phone or mail. Responsible for all billing and delinquency processes for assigned groups. Ensures accuracy and timeliness of the membership and billing function. Responds to inquiries concerning enrollment processes. Maintains enrollment database. Orders Identification Cards. Determines eligibility and applies contract language for each case assigned. Performs error output resolution for electronic eligibility and processes error discrepancy list. Bills, collects premiums and reconciles payments. Maintains and reconciles premium bill, self-bill and individual billed accounts. Notifies clients of premium discrepancies through payment adjustment notices and detailed audits. Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.

EDUCATION/EXPERIENCE: Requires H. S. graduate or GED;6 months - 1 years related experience; or any combination of education and experience, which would provide an equivalent background.

SKILLS: Verbal and written communication skills. Organizational and interpersonal skills required. PC proficiency.
We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Job Experience:

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