Job ID: J121903
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
I. GENERAL OVERVIEW:
Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases.
II. ESSENTIAL RESPONSIBILITIES:
1. Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries
2. Process and maintain membership data. Manage multiple production oriented tasks and responsibilities.
3. Perform various billing, accounts receivable, and reconciliation activities.
4. Create and distribute membership/billing materials and communications to clients/members.
5. Ensures acceptable service levels, metrics, and/or other performance guarantees are met.
6. Conduct research to ensure issue resolution.
7. Other duties as assigned or requested.
• High school diploma/GED
• 3-5 years of related, progressive experience. Grandfathered experience requirements effective August 2016.
• Experience using Microsoft Office Applications
• Experience in Billing/Enrollment and/or Customer Service
• Associates or Bachelor’s degree in business or a related field
• Prior finance related experience
• Prior healthcare industry experience
• Prior Enrollment and Billing experience •
Knowledge, Skills and Abilities
• Strong financial aptitude
• Solid customer service/phone skills
• Attention to detail
• Organizational skills
• 10-key data entry with both quality and speed
• Basic accounting knowledge and ability to reconcile enrollment and/or payment information
• Proven ability to analyze and resolve problems
• Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.
• Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.
• Ability to take direction and to navigate through multiple systems simultaneously.
• Ability to maintain composure under stressful and fast-paced conditions.
IV. SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
V. WORK ENVIRONMENT
Is Travel Required?
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