Medicare Fulfillment Specialist

Details:

Stefanini Group is hiring.

Stefanini is looking for an Medicare Fulfillment Specialist -100% Remote

For quick apply, please connect with Sharad Chauhan ; Ph: /

W2 Only.

Job Summary:

Responsible for analyzing and interpreting documentation received in Revenue Cycle from sales, agents, and employer groups to accurately set-up and configure basic to moderately complex fully-funded benefit options, group structures, and membership using the OnBase and Facets systems. Conducts moderately complex analysis of Facets and OnBase information to provide issue resolution and respond to inquiries related to group and member set-up. Assists on project teams as assigned.

Essential Functions:

• Analyze and interpret documentation received from Sales (EGI, NGI, Revisions, Client Fact Sheet, etc.) to determine Facets setup, configuration, and accurately build a variety of fully-funded benefit options, group structures, and enroll members.
• Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation, phone calls, written correspondence, and approved form letters.
• Participate in cross-functional training opportunities and process improvement initiatives within Revenue Cycle during the non-peak open enrollment periods.
• Works under minimal direction guided by established policies and procedures.
• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group/member discrepancies.
• Maintain a basic understanding of all internal and external computer systems and reports that impact the group set-up and member enrollment process.
• Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
• Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.

Job Requirements

Details:

Qualifications:

• Required High School Diploma or equivalent
• Preferred Associate's Degree in business or health care related field
• 2 years of relevant experience in the healthcare industry or related field Required
• Experience with FACETS Software in benefit and/or group configuration/maintenance or claims Preferred

Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.

About Stefanini Group:

The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company.

Pay Range:

$ 22.00 - $ 25.00