Job title: Enrollment Consultant I – Well being Plan Enrollment
Firm: Christus Well being
Job description: DescriptionAbstract:The Well being Plan Enrollment Consultant will prioritize and coordinate each day duties and tasks. The Enrollment employees ensures that each one knowledge entry is correct together with demographic and monetary info for every account. This job’s core obligations embody, however are usually not restricted to enrolling new members, replace present members, evaluate/replace eligibility, and disenroll members within the applicable purposes. This affiliate might be answerable for researching complicated issues utilizing accessible assets and implementing options to mitigate any future points. This job might be answerable for working numerous work queues, and different duties as assigned. The core obligations might be aligned with the well timed and correct entry of all phases of the enrollment/billing course of for an distinctive stage of service to our members. This job requires skilled look, conduct, and good communication abilities. Enrollment Representatives require dependability, flexibility, and teamwork.This job might be answerable for making use of for a Frequent Entry Card (CAC) and can want required approval to be in good-standing by the federal government for using numerous databases of data on uniformed companies members, U. S. sponsored international army, DoD and uniformed civilians, in addition to different personnel as directed by the DoD, and their relations. The CAC utility course of helps the CHRISTUS US Household Well being Plan (USFHP) TRICARE Operation Handbook (2015 Version – T17; 2021 Version – T5) Chapter 14, Part 1 Contracting Necessities.Tasks:
- Meets expectations of the relevant OneCHRISTUS Competencies: Chief of Self, Chief of Others, or Chief of Leaders.
- Precisely inputs all required knowledge components for scheduling and registration, together with member demographic, monetary info, and related notes related to the encounter.
- Calculates and collects the estimated member portion based mostly on advantages and contract reimbursement in addition to prior balances.
- Represents the Enrollment division in an expert, courteous method at ALL occasions.
- Helps the division in attaining established efficiency targets.
- Demonstrates contribution and achievement of division assortment initiatives.
- Keep confidentiality for all prospects.
- Enrollment actions for members through paper, file switch, or web enrollment processing
- Keep data and experience in eligibility, enrollment and billing; and program specs for U. S. Household Well being Plan, Medicare, Medicaid, and or the Federal market.
- Keep detailed monitoring of every perform inside the enrollment and disenrollment course of together with correspondence and accuracy of member ID playing cards.
- Communicates verbally and in writing with members, third events and different departments as required to facilitate the enrollment, disenrollment and billing processes.
- Responds to inside and exterior buyer inquiries relating to eligibility and associated features.
- Enters info through the enrollment course of that assists claims personnel in declare adjudication together with COB.
- Persistently meets or exceed division and firm requirements and expectations together with however not restricted to high quality, productiveness and attendance.
- Chargeable for member correspondences.
- Carry out different duties as assigned
- Chargeable for preliminary and/or renewal utility for Frequent Entry Card (CAC) to help the CHRISTUS USFHP product line of enterprise. Should full numerous authorities documentation and Cyber Safety Coaching for full approval from the TASS workplace by getting into info that’s right to the most effective of the applicant’s data.
- Communicates verbally and in writing with the Facility Safety Officer (FSO) through the entirety of the CAC course of and completion. This contains present process an in depth background test with the federal government, finishing fingerprinting, and requesting permission from the DHA Contracting Officer (KO).
Necessities:
- Excessive Faculty Diploma
- Frequent Entry Card (CAC) – be obtained inside 6 months and stored present
Work Sort:Full TimeEEO is the regulation – click on under for extra info:We endeavor to make this web site accessible to any and all customers. If you want to contact us relating to the accessibility of our web site or want help finishing the applying course of, please contact us at (844) 257-6925.
Anticipated wage:
Location: Irving, TX
Job date: Sat, 23 Mar 2024 08:04:00 GMT
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