Insurance Verification Specialist or Case Management Assistant Job at SGS Consulting, Remote

cGNjRFBwbE85TTBRM2hUQStaWVB4WVFXTWc9PQ==
  • SGS Consulting
  • Remote

Job Description

Job Responsibilities:

  • 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 includes 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.

Skills:

  • Insurance verification, health insurance, Medicaid verification, Customer service, and HIPP / Premium Assistance Program.

Education/Experience:

  • High School Diploma or equivalent required
  • Min. 2 years of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
  • Min. 2-year experience working on the phone, making inquiries (outbound) and answering calls (inbound).
  • Call Center Experience Preferred
  • Human Resources or Health Insurance Experience preferred
  • Bilingual Preferred
  • Knowledge of health care terminology is a plus.

Job Tags

Remote job

Similar Jobs

Labcorp

MCT Technologist Trainee Job at Labcorp

 ...Labcorp seeks a technologist trainee for its Saint Paul, Minnesota laboratory to perform specimen processing, testing, and quality control. The role offers full training for new graduates and operates ThursdaySunday nights with overtime as needed. Responsibilities... 

Gpac

Commercial Construction Sales Job at Gpac

 ...that will take you to new heights, this is your chance! As a Sales professional, you will be responsible for driving revenue...  ...business needs and pain points- Act as a subject matter expert in Construction Services offering sollutions to clients- Build and maintain... 

MalaceHR

Custodian Job at MalaceHR

 ...Seeking Custodian for Automotive facility in Ypsilanti, MI. This is for a leave of abscense for 4-6 months but potential for long-term may be available. Job Summary The Custodian is responsible for maintaining a clean, safe, sanitary, and orderly environment throughout... 

AtriCure

Digital Marketing Specialist Job at AtriCure

 ...AtriCure seeks a Digital Marketing Specialist to develop and manage digital content across social media and online channels. The role involves creating engaging posts, scheduling content, gathering materials from internal events, and monitoring social performance to strengthen... 

Creator's Kids

Daycare and Micro School Principal Job at Creator's Kids

 ...for an exceptional Leader with proven experience in management and care for children. Responsibilities Daycare and Micro School Principal. This is an operations management position that supervises multiple rooms. Supervise, mentor, and train staff to adhere to...