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Eligibility Representative/Managed Care Claim Support/Sharp Healthcare/Day Shift/Full Time

Company: Sharp HealthCare
Location: San Diego
Posted on: March 19, 2023

Job Description:

HoursShift Start Time:8 AMShift End Time:5 PMAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$20.000 - $22.314 - $26.777The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.--- The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.What You Will DoUpdate eligibility data received from HMOs. Audit and correct data as needed. Work eligibility file edits. Perform special projects as directed.Preferred Qualifications

  • H.S. Diploma or Equivalent
  • HMO and eligibility experienceEssential Functions
    • Audit enrollmentAccurately audit enrollment and complete on-line error corrections appropriately.Standard = 2% error corrections
    • Communication and teamworkInitiate Demonstrate cooperation/teamwork by participating in achieving department goals, promoting cooperation with co-workers and other departments, communicating courteously with co-workers, regularly attending and contributing to unit meetings, and accurate and timely submission of production reports and time cards.Standard = 0-2 documented incidents
    • Documentation and auditsComplete audit & on-line error corrections from eligibility edit reports before next monthly update.Complete by next monthly update 95% of the time.Check for any claims or invoices that may have been affected by enrollment updates. Forward information to appropriate department for correction.
    • Special projectsStandard: completed by due date 95% of the time.
    • Time managementDemonstrate ability to work independently and manage time well with any free time used to help in other areas as directed. Inform supervisor when available for additional work assignmentsStandard = 0-2 documented incidentsKnowledge, Skills, and Abilities
      • Ability to type and 10 key by touch.
      • Excellent communication skills both oral and written.
      • Strong organizational skills. Prior office experience.
      • Familiar with operating a PC.Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Keywords: Sharp HealthCare, San Diego , Eligibility Representative/Managed Care Claim Support/Sharp Healthcare/Day Shift/Full Time, Healthcare , San Diego, California

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