AR/Enrollment Specialist I
Intermountain Healthcare
Meridian, ID
Full-time
Education
Posted on August 22, 2017
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. This position in located @ SelectHealth in Meridian, Idaho.
Essential Job Duties
- 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.
Posting Specifics
- Entry Rate: $15.33/hour or more, depending on experience
- Benefits Eligible: Yes
- Shift Details: Full-time, 40 hours per week
- Department: SelectHealth - Meridian, Idaho