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Job Field: Legal Jobs
Location: PORTLAND, WA
Salary: $-
Job Type: Full Time

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;">***Registration in iMatchSkills required for referral to this position; go to www.imatchskills.com***    REQUIREMENTS:  *2 years of experience in health plan customer service or call center OR any work experience and/or training that would likely provide the ability to perform the essential functions of the position    PREFERRED:  *2 years of experience in Health Plan enrollment and/or Medicare enrollment experience     JOB DUTIES:  *Responsible for enrollment activities for company's members via paper enrollment, tape enrollment or internet enrollment processes. Include PCP selection and assignment functions.  *Consistently meet or exceed CMS and company's guidelines related to the enrollment and disenrollment process.  *Maintain detailed tracking of each function within the enrollment and disenrollment process including correspondence and the issuance and accuracy of member ID cards.  *Communicate verbally and in writing with members, physicians, third parties and other company's departments as required to facilitate the enrollment, disenrollment and billing processes.  *Respond to internal and external customer inquiries regarding eligibility and related functions.  *Enter information during enrollment process that assists claims personnel in claims adjudication including COB.  *Perform reconciliation using company's reconciliation program.  *Receive and work with incoming eligibility from a variety of sources.  *Consistently meet or exceed Department and Company standards and expectations including but not limited to quality, production and attendance.  *Use online Call Tracking system to document all activities from any mode of communication from members, providers and other customers  *Maintain confidentiality for all customers    EMPLOYER'S COMMENTS: Pass a pre-employment background check.   Position may close at any time. We're an Equal Employment Opportunity Employer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           </font></td>
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KEY REQUIREMENTS:

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12 Months