Health Operations New Associate

Job Description

Skill required: Provider Network - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Timely and Accurate Enrollment:Ensure that all members and groups are enrolled within the agreed-upon timelines by capturing required information and verifying eligibility, generating Invoice and reconciling payments. You will facilitate a smooth enrollment and billing process while maintaining attention to detail to meet deadlines ID Card Issuance:After completing enrollments, promptly issue ID cards to members, ensuring all details are accurate. This will help members gain seamless access to healthcare services Processing Changes and Terminations:Accurately process changes, additions, deletions, and terminations for members to ensure their records are always up-to-date. Ensure that all updates are reflected correctly in the system and communicated to relevant parties Enrollment & Billing Materials Distribution:Ensure that members and groups receive the necessary enrollment and Billing materials, such as benefits guides and plan details. You will provide clear and accessible information to help members understand and navigate their healthcare benefits Compliance and Accuracy:Adhere to all organizational policies, compliance standards, and SLAs while processing enrollments. You will focus on data accuracy to minimize errors and maintain reliable records for all members and groups What are we looking for? Minimum 0-1 Year Experience in Enrollment and Billing:Basic understanding of enrollment and Billing process, eligibility verification, and billing practices in the healthcare domain Attention to Detail and Accuracy:Ability to accurately process enrollments, changes, terminations, and ensure all data is up-to-date and error-free Efficiency and Timeliness:Ability to process enrollments and changes promptly while adhering to established SLAs and ensuring smooth operations Strong Communication and Compliance:Ensure clear communication of enrollment materials and compliance with organizational policies and regulations NA Roles and Responsibilities: Timely Enrollment and Data Accuracy:Ensure the accurate and timely enrollment of members and groups, generating Invoice and reconciling payments. Verifying eligibility and billing data by capturing all required information to meet organizational timelines ID Card Issuance and Verification:Issue ID cards promptly post-enrollment, ensuring all member details are correct and meet organizational standards for seamless healthcare service access Processing Changes and Terminations:Accurately process member and billing changes, additions, deletions, and terminations, ensuring timely updates and communication across relevant systems and departments Compliance, Enrollment Materials, and Quality Assurance:Distribute necessary enrollment materials to members and groups, adhere to compliance requirements, and maintain high accuracy in data entry to ensure reliable and up-to-date records Qualification Any Graduation