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SalaryImagine360 is currently seeking an Eligibility Billing Representative! The Eligibility Billing Representative is responsible for maintaining the eligibility of employees and dependents, processing new groups and monthly premium billings and payments. Also provides support and assists Account Management Support and Account Managers with projects and activities by performing general clerical and administrative duties by using computer hardware and software to review documents, input data and generate reports.
Position Location: 100% Remote
Responsibilities include but are not limited to:
- Examines enrollment forms and interprets plan documents to determine eligibility.
- Processes new groups for Admin; preparing folder, folder sheet, excel spreadsheet for distribution.
- Sets-up first billing and scanning new group information into Docushare.
- Updates adds, changes, and terminations of employees on GBAS system.
- Posts payments to accounts by bilingual group and scans billings and payments to Docushare.
- Provides accounting with breakdown on billing to distribute revenues received.
- Provides PBM with adds, changes, and terminations.
- Receives and checks PBM cards and mail with cover letter to groups.
- Runs various reports as needed and requested by supervisor.
- Reviews initial eligibility of new groups once loaded in GBAS and checks for accuracy.
- Monitors web adds, terminations and changes.
- Updates eligibility on Conexis system.
Required Education and Experience:
- High School Diploma or GED
- 2 years of group health insurance and/or eligibility experience preferred.
- Intermediate knowledge of word processing software; spreadsheet software; Internet software; and database software
What can Imagine360 offer you?
- Multiple Health Plan Options, including a 100% employee paid premiums
- 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
- Parental Leave Policy
- 20 days PTO to start / 10 Paid Holidays
- Tuition reimbursement
- 401k Company contribution
- Professional development initiatives / continuous learning opportunities Opportunities to participate in and support the company's diversity and inclusion initiatives
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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**
