Insurance Enrollment Representative Job at Robert Half (Lawrenceville)

Enrollment Representative Senior - HP Enrollment Eligibility

The Health Plan Enrollment Representative Senior will prioritize and coordinate ...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
Common Access Card (CAC) - be obtained within 6 months and kept current required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
Maintain knowledge and expertise in eligibility, enrollment and billing
and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
Enrollment activities for members via paper, file transfer, or internet enrollment processing
Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
Responds to internal and external customer inquiries regarding eligibility and related functions
Enters information during the enrollment process that assists claims personnel in claim adjudication including COB

Fulltime

Enrollment Representative Senior - HP Enrollment Eligibility

The Health Plan Enrollment Representative Senior will prioritize and coordinate ...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
Common Access Card (CAC) - be obtained within 6 months and kept current required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
Maintain knowledge and expertise in eligibility, enrollment and billing
and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
Enrollment activities for members via paper, file transfer, or internet enrollment processing
Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
Responds to internal and external customer inquiries regarding eligibility and related functions
Enters information during the enrollment process that assists claims personnel in claim adjudication including COB

Fulltime

Enrollment Representative Lead - HP Enrollment Eligibility

The Health Plan Enrollment Representative Lead performs duties relative to finan...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
5+ years of enrollment experience
Common Access Card (CAC) - be obtained within 6 months and kept current

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
Maintain knowledge and expertise in eligibility, enrollment and billing
and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
Enrollment activities for members via paper, file transfer, or internet enrollment processing
Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
Maintain detailed tracking of all quality data updates within the enrollment and disenrollment process
Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
Responds to internal and external customer inquiries regarding eligibility and related functions

Fulltime

Enrollment Representative Lead - HP Enrollment Eligibility

The Health Plan Enrollment Representative Lead performs duties relative to finan...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
5+ years of enrollment experience
Common Access Card (CAC) - be obtained within 6 months and kept current

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Provide application assistance and facilitate enrollment of eligible members and community members health insurance programs
Maintain knowledge and expertise in eligibility, enrollment and billing
and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace
Enrollment activities for members via paper, file transfer, or internet enrollment processing
Consistently meet and exceed Service Level Agreements related to enrollment and disenrollment process
Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and accuracy of member ID cards
Maintain detailed tracking of all quality data updates within the enrollment and disenrollment process
Communicates verbally and in writing with members, third parties and other departments as required to facilitate the enrollment, disenrollment and billing processes
Responds to internal and external customer inquiries regarding eligibility and related functions

Fulltime

Sales Representative, Insurance Services (L&H)

Insperity provides the most comprehensive suite of scalable HR solutions availab...

Location

United States , Kingwood

Salary:

Not provided

Insperity

Expiration Date

Until further notice

Requirements

Bachelor’s Degree is required or equivalent work experience is required
Life, Accident and Health (LAH) license required

Job Responsibility

Develops and maintains a complete understanding of Health Care Reform (HCR) and how it affects insurance solutions for current clients and prospects
Develops and maintains a complete understanding of select targeted businesses and the corresponding employee benefits challenges including: large groups, small groups and individual plans
Develops and maintains a complete understanding of all types of health and welfare benefits such as: health, dental, life, disability, vision and other benefits
Consults with current and prospective clients, conducts needs analysis, creates customized proposals and presents IIS solutions that fit their business needs
Develops a prospective customer list generated by various methods
Develops and maintains a positive, referral relationship with the goal of generating sales, growth and revenue for the Company
Develops and maintains a positive referral relationship with both internal sales and service personnel and external insurance carrier partners
Quotes, sells and enrolls participants into Insperity Insurance Services solutions
Achieves sales/revenue quotas through the sale of insurance solutions as established by IIS management
Completes activity and pipeline reports and submits to management at the required time

What we offer

Flexibility: Over 80% of Insperity’s jobs have flexibility
Career Growth: continuous learning programs, mentorship opportunities and ongoing training
Well-Being: generous paid time off, top-tier medical, dental and vision benefits, health & wellness support, paid volunteer hours

Fulltime

Health Insurance and Authorization Representative IV

The individual in this position manages and provides financial account managemen...

Location

United States of America , Rochester

Salary:

20.99 - 28.34 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent
3 years of related experience or equivalent combination of education and experience
Ability to work independently as well as in a team environment
Ability to work with all patient populations
High degree of professionalism and motivation
highly collaborative
Excellent written and verbal communication and customer service skills

Job Responsibility

Manages and provides financial account management for assigned caseload
Identifies and determines the accuracy and completeness of insurance and demographic information
Identifies problems that include but are not limited to pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and denials/appeal processes
Involves in-depth communication and follow-up with assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and governmental agencies
Create a professional and effective customer-oriented environment
Confirm insurance information and discuss financial obligation
Document demographic and insurance information in a timely, accurate manner
Assess each account for benefits, authorizations, self-pay balances, or other concerns
Monitor caseload and document information regarding insurance and exhausted benefits
Track patients unable to participate in insurance management

Fulltime

Bilingual Community Outreach Representative

Bilingual Community Outreach Representative (English/Spanish). Onsite in Hesperi...

Location

United States , Hesperia

Salary:

20.00 USD / Hour

MMC Group LP

Expiration Date

Until further notice

Requirements

High school diploma, GED, or equivalent
Fluent in both English and Spanish, including reading, writing, and speaking
Valid California driver's license with proof of insurance
Reliable transportation and willingness to travel throughout the county
Strong customer service, communication, and interpersonal skills
Computer proficiency, including Microsoft Office
Ability to type at least 20 words per minute
Excellent organizational and time management skills
Ability to manage multiple priorities in a fast-paced environment
Comfortable presenting information to individuals and groups

Job Responsibility

Conduct community outreach through individual appointments and group presentations
Educate beneficiaries on available managed care plan options
Guide individuals through enrollment and disenrollment processes
Assist with medical exemption and waiver inquiries
Build positive relationships with county offices, community organizations, and program partners
Participate in community events, health fairs, and educational outreach activities
Accurately document interactions within the CRM system
Complete data entry and enrollment transactions with a high degree of accuracy
Maintain quality, productivity, and compliance standards
Assist with training and mentoring new team members as needed

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Fulltime

Patient Service Representative

We are looking for a Patient Service Representative to support front-end patient...

Location

United States , Miami

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in patient access, medical front desk, healthcare customer service, or a similar administrative support role
Working knowledge of patient registration, appointment scheduling, payment collection, and medical billing practices
Ability to verify insurance coverage, support authorizations or eligibility workflows, and handle Medicaid or managed care processes
Proficiency with healthcare and office systems such as Allscripts, Cerner, Dentrix, CRM platforms, or similar software tools
Strong verbal communication skills, including confidence handling inbound calls and speaking with patients, providers, and internal teams
High attention to detail with the ability to maintain accurate records, reports, charts, and documentation
Understanding of patient confidentiality standards and the importance of handling sensitive information with discretion
Ability to manage multiple tasks in a fast-paced clinical environment while maintaining professionalism and accuracy

Job Responsibility

Welcome patients and visitors courteously while providing service that reflects established patient care and customer support expectations
Complete patient registration activities accurately, update demographic and account details, and safeguard confidential health information at all times
Perform financial screening, collect applicable payments, and document transactions correctly within required records and tracking processes
Prepare and submit billing for assigned providers, review charge activity for accuracy, and follow posting guidelines to keep accounts up to date
Follow up with providers regarding unresolved encounters or outstanding charges to help prevent delays in claim and billing workflows
Coordinate with program managers on daily appointment activity, including missed visits, cancellations, and schedule updates
Place outbound calls to confirm upcoming appointments and support attendance for both new and returning patients
Verify Medicaid and managed care coverage, assist with eligibility and enrollment steps, and process disenrollment actions when needed
Maintain reports, logs, and compliance-related data, including meaningful use reporting, and scan supporting documents into patient charts
Share information about available organizational and community services, schedule follow-up care, and assist with additional departmental projects as assigned by leadership

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

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Insurance Enrollment Representative

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