Health Insurance Representative

BASIC FUNCTION:

This position is responsible for monitoring Medicare CMS guidance and related regulations and policy changes impacting clinical operations; participating in audits; supporting tracking and submission of Medicare related deliverable, including fulfillment of internal and contractual reporting requirements; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicare program are met. This role will include project management.

QUALIFICATIONS:

• Bachelor Degree OR 3 years - experience with Health Insurance or within relevant health care industry
• 1 year of experience with Health Insurance benefits and/or operations.
• Knowledge of CMS Medicare Advantage software applications.
• Knowledge of Medicare legislative and regulatory guidance
• Knowledge of Health Plan Management Systems.
• Project management skills, including strong organization, prioritization and problem-solving skills; strong oral, verbal and interpersonal communication skills; ability to accept direction and feedback
• Experience interacting with personnel of multiple departments and at various levels in the organization
• Experience with changing assignments and priorities proficiency to include MS Office products and VISIO
• Knowledge of Medicare product(s).
• Analytical and information synthesis skills. Experience interpreting and presenting business information.
• Knowledge of strategic planning techniques and industry trends
• PC proficiency to include Microsoft Word, Excel, PowerPoint, Outlook and SharePoint.

Job Type: Full-time

Pay: $20.00 - $22.00 per hour

Work setting:

• In-person

Work Location: In person