Demo

Eligibility Associate Representative (Bulk 40)

Ask Staffing
Nashville, TN Full Time
POSTED ON 2/18/2025
AVAILABLE BEFORE 5/7/2025

All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".

Job title : Eligibility Associate Representative

Location : Orlando, FL 32789

Duration : 2 months (possible extension)

Pay rate : $16 per hour

Job details : Job Description :

Duties : 100% work at home

8 : 30am 5 : 00pm EST (prefers candidates who live in EST & CST)

Delivers specific delegated Eligibility tasks assigned by a supervisor. Implements, updates, and maintains automated, direct connect and / or manual eligibility data. May handle reconciliation for non-standard requests. May provide technical support for the electronic procession of eligibility. Ensures customer data is installed accurately and timely. Technical knowledge of manual and automated eligibility. Completes day-to-day Eligibility tasks without immediate supervision, but have ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs / issues.

Essential Functions :

  • Facilitates accurate processing of Enrollment applications to ensure timely input and acceptance to CMS.
  • Performs account benefit verification requiring complex decision skills based on payer and process knowledge resulting in proper access to care.
  • Process Reconciliation files from CMS to include Disenrollments, Late Enrollment Penalties and Low Income Subsidies
  • Timely and Accurate processing of monthly Premium payments including identification and processing of write offs, resolution of credit balances and posting of payments to member accounts
  • Process Coordination of Benefits and Medicare Secondary Payer files from CMS to meet Federal and State Regulatory guidelines.
  • Ensure accuracy of data entry to allow for meeting proper Service Level Agreements
  • Use discretion & independent judgement in handling more complex cases and be willing to learn new skills within the Enrollment Functions
  • Directly interfaces with other teams within
  • Provide support to other internal functions as needed.
  • May need to be proficient in Multiple Systems
  • Completes other projects and additional duties as assigned.

Skills : Top 3 Skills :

  • Analytical skills
  • Customer Service Skills
  • Quick Learner
  • Other Skills :

  • Knowledge of CMS Enrollment & Reconciliation process
  • Knowledge of CMS Billing requirments and regulations
  • Knowledge in Coordination of Benefits and Medicare Secondary Payer
  • Medicare Part C and Part D
  • Health care experience with medical insurance knowledge and terminology and experience in patient access preferred.
  • Intermediate data entry skills and working knowledge of Microsoft Office.
  • Excellent presentation and communication skills.
  • Demonstrated ability to handle challenging interactions in a professional manner.
  • Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
  • Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions
  • SQL (a plus not required)
  • Keywords :
  • Education :
  • High school diploma or GED required, bachelor's degree preferred.
  • 3 years of relevant working experience.
  • About ASK : ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

    ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.

    Salary : $16

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