Member Admin Account Specialist Job Chattanooga area,Tennessee USA,Administrative/Clerical

[Chattanooga, 37402], Tennessee - United States | Posted - 06/13/23

Apply Easy Apply

Overview

Title:
Member Admin Account Specialist

Location:
Chattanooga, TN 37402

Duration: 6 months

Pay rate: 25/hr

Qualifications

All applicants will be advised that as a federal contractor, may be required to implement a COVID-19 vaccine mandate.

Education

High School Diploma or equivalent

Experience

2 years of experience in the healthcare industry required

Skills/Certifications

Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, and Access)

Proficient oral and written communication skills

Proficient interpersonal and organizational skills

Job Duties and Responsibilities

Perform complete lifecycle of member enrollment; including but not limited to enrollments, exception decisions, changes, and terminations within the automated workflow system, or manually if request is in paper form within specified time frames outlined and based on applicable documents (contracts, federal/state mandates, etc).

Selection of appropriate underwriting options for employer group member life enrollment applications (new and changes) and Medicare supplement applications as appropriate.

Successfully load membership data into third party Rx system and order as appropriate.

Reconcile billed amounts to amounts paid by the group or member and identify any discrepancies.

Maintain proper records of payment receipts, refunds, COBRA notifications and other transactions to assure proper audit trails for compliance purposes.

Manage various billings for member and/or group accounts, payments, reconciliations and/or recoupment of expenses including, but not limited to, branded products, GIS specialty products, Blue Card fees, administrative fees and special services manually billed as discretionary billing items. This includes ARCH debit and wire transactions.

Know and apply COBRA rules to assure compliance with DOL and ERISA regulations including, but not limited to, those where financial penalties are at risk.

Manage member contribution allocations for HRA and HSA products.

Promote continuity of existing business through effective interaction with members, Group Administrators, other Plans, Regional Service Specialists, Marketing (Sales and Account Executives), Brokers, and Third Party Administration (TPA’s).

Complete weekly inventory and productivity reports in a timely and accurate manner.

Provide internal and external technical support for any special projects that are deemed necessary to support Division and or corporate activities.

About the company

MWIDM Inc. is a WMBE Certified global staffing firm serving Fortune 2000 clients with customized and scalable workforce solutions. With our account management integrated into our delivery process, we provide you with staffing solutions that are transparent and robust irrespective of the industry you function.

#J-18808-Ljbffr


Increase/decrease your Search Radius (miles)



Job Posting Language