Entry Level: Eligibility Analyst (full time remote jobs hiring/no degree)
Job Responsibilities : Entry Level: Eligibility Analyst (full time remote jobs hiring/no degree)
Salary : 17.50 – $18.50 an hour
Company : MultiPlan Inc.
Job Description
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client’s needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
This role will support our Medicare Secondary Payer (MSP) clients. This is a production based position where the employee is responsible to make a large number of outbound calls to insurance carriers, employers & members. The individual must be able to gather all of the applicable facts, note them in a concise manner, and apply the Coordination of Benefits (Rules) Rules to determine the correct Order of Benefits. Other responsibilities include, but are not limited to data entry and miscellaneous projects as needed.
JOB ROLES AND RESPONSIBILITIES:
1. Makes a high volume of outbound telephone calls, imaging documents, and completing data entry.
2. Uses tools to research telephone numbers and addresses.
3. Applies Coordination of Benefit (COB) Rules and establishing Order of Benefits.
4. Opens and works files in home application.
5. Creates and updates tracking reports.
6. Gathers claim overpayment information from healthcare providers.
7. Searches insurance claim database queries.
8. Pursues overpayments and initiate the refund of identified overpayments.
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company’s Core Competencies and values held within.
12. Please note due to the exposure of PHI sensitive data — this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
Keep the needs of external and internal customers as a priority when making decisions and taking action. Communicates across clients, members, and their employers. Manages own work and pays attention to details, uses creative problem solving skills to review, research, and update file content. Incumbents must deliver high quality results. Must be open to feedback,teamwork and show interest in contributing ideas to improve our processes. Decision making is limited and must fall within established guidelines or is escalated to supervisor.
The salary range for this position is $17.50 – $18.50 an hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
Requirements
JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum high school diploma along with one (1) year previous experience in a revelvant field.
* Required licensures, professional certifications, and/or Board certifications as applicable.
* Typing skills of a minimum of 45 wpm.
* An energetic and friendly telephone demeanor.
* Strong writing abilities to capture details in a concise yet complete manner.
* The ability to ask questions to uncover the information needed.
* Basic knowledge of working computers/scanners/excel/word.
* High Volume Outbound Call Center or Customer Service roles are a plus.
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
Medical, dental and vision coverage with low copay & deductible
Life insurance
Short and long-term disability
401(k) + match
Generous Paid Time Off
Paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
EEO STATEMENT
MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here opens a pdf file.
