Insurance Verification Specialist or Case Management Assistant

SGS_JOB_3393

Business Support
Remote
Insurance verification
health insurance
Medicaid verification
Customer service
and HIPP / Premium Assistance Program

Contract - 3 months

Seeking professionals with experience in health insurance or Medicaid verification to support Medicaid-eligible members under the HIPP / Premium Assistance Program. The role involves insurance verification, eligibility documentation, case maintenance, and high-volume customer interaction.

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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