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Eligibility Operations Adv I - REMOTE

Date:  Sep 23, 2022
Location: 

Any city, TX, US, 99999

Req ID:  9165

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

We are seeking a talented individual for a Eligibility Operations Advisor I who is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments. Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing.


Your role in our mission

  • Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
  • Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families.
  • Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
  • Complete periodic reports.
  • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
  • Data entry to include accurate and timely entry of information.
  • Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
  • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

 

 

What we're looking for

  • Ability to work with Microsoft Word and Excel and navigate the internet skillfully. 
  • Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines.
  • Working knowledge of HIPAA privacy and Security rules.
  • Min. 2 years of experience in the insurance industry, health care, or government-sponsored health insurance to include customer service and medical billing knowledge or similar math-related experience.
  • Min. 2 years experience working on the phone making inquiries (outbound) and answering calls (inbound).
  • Knowledge of health care terminology is a plus.

 

What you should expect in his role

  • Remote (work from home)

 

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

 

The pay range for this position is $23,819.00 - $29,775.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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