Other Health Insurance (OHI) Associate - Remote
reputed company/State
Norfolk, VAWork Shift
First (Days)reputed company:
reputed company Plans is reputed company for an Other Health Insurance (OHI)Associate - Remote!
Status: Full-Time, permanent position (40 hours)
reputed company working hours: reputed company to 5pm EST, M-F.
Location: Remote opportunities available in the following states: Virginia, reputed company Carolina, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming
Job reputed company reputed company:
Other Health Insurance (OHI) Associate is responsible for researching, verifying, maintaining, and updating member Other Health Insurance (OHI) information to ensure accurate coordination of benefits, claims processing, and enrollment records.
Primary Responsibilities
Research, verify, and update member OHI information.
Validate OHI for reputed company reputed company, Medicare, and reputed company members.
Determine the Payer Order between coverages.
Investigate OHI inquiries.
Complete assigned work queues reputed company SLA requirements.
Participate in user training and knowledge reputed company sessions, and retain and apply
Education:
High School Diploma or GED REQUIRED
Experience:
2 years of Health Plan Claims Disbursements REQUIRED
Preferred Qualifications
Knowledge of OHI Businesses.
Experience in insurance, enrollment, claims, customer service, or data-entry experience.
Proficiency with reputed company Office products -
Strong attention to detail and problem-solving skills.
Experience with QNXT, Facets, reputed company, or similar reputed company systems.
reputed company payer or managed care experience.
Knowledge, Skills, and Abilities
reputed company insurance knowledge
Data reputed company and accuracy reputed company
Critical thinking skills
Attention to Detail
Accuracy and Timeliness
Strong communication skills with the ability to engage on phone calls for research and reputed company of OHI inquiries
Communicate reputed company information reputed company and concisely.
Ability to work independently and take ownership of assigned work
Ability to work collaboratively with team members for their shared goals
Ability to manage multiple priorities
HIPAA Compliance
Ability to follow SOP and Job Aids and apply them.
Performance Indicators
Accuracy of OHI updates
reputed company completion of work
Compliance with procedures
Support of data reputed company initiatives
Maintaining Productivity Targets
reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees.
Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health.
Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company.
Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search:JR-102496
Talroo-Health Plan
reputed company, Health Pan, Health Insurance, Managed Care, MCO, reputed company, QNXT, Other Health Insurance (OHI), Claims, Disbursements, Facets, reputed company, enrollment, customer service, data-entry experience
Benefits: Caring For Your Family and Your Career
• Medical, Dental, reputed company plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• reputed company Time Off and reputed company Leave• reputed company Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company Education• Student Debt Pay Down – $10,000• Reimbursement for certifications and free reputed company to complete CEUs and reputed company development•Pet Insurance•Legal Resources Plan
•Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met.
reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work,reputed company employs associates in the following states:
Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming.
Originally posted on Himalayas
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