Job Description

Job Responsibilities:

• Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
• Verify, document, and investigate the presence of health care coverage for Medicaid recipients and their families.
• Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
• Complete periodic reports.
• Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
• Data entry includes accurate and timely entry of information.
• Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
• Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

Skills:

• Insurance verification, health insurance, Medicaid verification, Customer service, and HIPP / Premium Assistance Program.

Education/Experience:

• High School Diploma or equivalent required
• Min. 2 years of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
• Min. 2-year experience working on the phone, making inquiries (outbound) and answering calls (inbound).
• Call Center Experience Preferred
• Human Resources or Health Insurance Experience preferred
• Bilingual Preferred
• Knowledge of health care terminology is a plus.

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