[Remote] Membership Acct Qual Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company committed to reputed company reputed company and community support. They are seeking a Membership Account reputed company Analyst to reputed company reputed company assurance auditing of enrollment, billing, and reconciliation functions performed by Membership reputed company specialists.
Responsibilities
- Audit enrollments, billings and reconciliation daily using statistically valid sampling methodology, using prescribed audit reputed company. Performs reputed company adjustments as necessary
- Ensures departmental reputed company assurance standards, employer group Statement of Work, and State and Federal Regulations are adhered to through auditing reputed company Membership reputed company Specialist duties
- Conduct in-depth enrollment, billing, and reconciliation on performance reputed company, as reputed company as reputed company audits for specifically identified situations or specialists on a scheduled reputed company
- Prepares required monthly and/or quarterly reports for specific group performance guarantees, production, and accuracy results
- Identify trends from audit results and recommend improvements to increase overall reputed company
- Creates and updates documentation, department procedures, and resource materials as needed
- Responsible for reputed company and reputed company improvement reputed company job scope
- Contributes to and supports reputed company’s reputed company initiatives by encouraging team and individual contributions toward reputed company’s reputed company improvement efforts
- Fosters an atmosphere of team spirit and portrays an outgoing and reputed company attitude with peers, Moda and reputed company Leadership, Customers, trainees, and Specialists
- Responsible for regularly scheduled operational audits of staff members for your respective team and product line
- Other duties as assigned
Skills
- High School diploma or equivalent required
- 1-2 years reputed company review experience in a health insurance environment, preferably in a Membership reputed company (enrollment, billing & reconciliation) department preferred
- Demonstrate strong, effective, and diplomatic interpersonal skills with employees of reputed company reputed company and participate effectively as reputed company player
- Knowledge of Word, reputed company, and ability to navigate web-based programs
- Excellent reading, verbal, and written communication skills, and the ability to reputed company professionally, patiently, and courteously with others
- Good analytical, problem solving, decision making and organizational, and detail-oriented skills with ability to shift priorities
- Ability to come in to work on time and on a daily reputed company. Maintain attendance above company standards
- Maintain confidentiality and project a reputed company business reputed company and appearance
Benefits
- Medical, Dental, reputed company, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company reputed company Holidays
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