What are the responsibilities and job description for the Eligibility Coordinator position at Advanced Medical Manage?
Job Description
Job Description
POSITION SUMMARY
The Eligibility Coordinator is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM.
RESPONSIBILITIES-DUTIES
- Responsible for verifying members eligibility including coordination of benefits.
- Responsible for manually entering new members in EZCAP after verifying eligibility though health plan portals or contacting the health plan by phone.
- Responsible for making appropriate changes in EZ-CAP regarding member demographics, PCP or benefit assignments, eligibility dates and terminations.
- Responsible for responding to emails requesting eligibility verification.
- Responsible for printing monthly welcome letters for new members.
- Responsible for printing monthly birthday letters for members.
- Assist with various eligibility reports to eliminate duplicate members, correct / update incorrect addresses, verify eligibility for members that fall off the monthly eligibility files.
- Maintain an average of 75-member eligibility verifications daily and be concise in all work.
- Introduction to Onbase average 50-member eligibility verifications on a daily basis.
- Assist with any other tasks that may be assigned by Supervisor / Manager.
EDUCATION & EXPERIENCE REQUIREMENTS
AMM BENEFITS
When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first :
