salary: $40,950 - $42,900 per year
shift: First
work hours: 8:30 AM - 4:30 PM
education: High School
Responsibilities
Enters in enrollment data into the custom enterprise system based on underwriting, eligibility, and group contract criteria
Responds to customer inquiries received via phone, email, fax, or letter. Provides information to internal and external customers on underwriting funding, eligibility group guidelines and the Group Admin Portal
Facilitates eBilling for the risk business usage by encouraging, educating, and enrolling groups. Researches, identifies and resolves errors in eBilling for risk business, and responds to customer inquiries.
Manages the billing process by preparing and mailing risk bills, performing collection of current and delinquent accounts, and adjusting the hold status of claims according to company collection guidelines.
Calculates and prepares billing adjustment forms and conducts billing audits for risk accounts. Communicates and coordinates monthly billing with internal stakeholders, risk groups and outside vendors.
Performs group enrollment audits and makes eligibility adjustments. Reviews enrollment data for accuracy by comparing and analyzing group reports and performing audits.
Collaborates with Third Party Administrators (TPAs) and employer groups to reconcile discrepancies and update records.
Researches and resolves rejected eligibility related claims by identifying errors and appropriately updating eligibility and rate code information.
Required: Enrollment experience or insurance experience - dental experience is a plus
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.