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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