Location: Pearland Administrative Office
Job Type: Full Time
Department: KS Plan Advantage-Operations
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
This position is responsible for receipt and processing of KelseyCare Advantage enrollment applications for the various health plan product lines. Responds to incoming calls from members, the clinic or other health plan representatives and may initiate outgoing calls to verify enrollment status. This position is responsible for analyzing eligibility media, utilizing various system applications/databases, processing incoming files, working edits for 100,000(+) managed care members. Responsible for maintaining the enrollment integrity of the EPIC and Health Plan Enrollment systems.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
High school diploma or equivalent.
|Some college or technical school|
2-3 years Healthcare Industry or 6 months experience working in KelseyCare Advantage Sales
Experience with CMS and/orKnowledge Medicare Advantage enrollment process.
Excellent Written and Verbal Communication Skills
3-5 years computer, with exposure to
various applications to include: MS Excel, Word, Powerpoint and Outlook
|Ability to export file from Access to Excel.|