Enrollment & Billing Representative jobs in Concord, CA

Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Lead Enrollment Unit Representative
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview

    In addition to the Enrollment Specialist duties, the Enrollment Unit Lead (EUL) provides assistance to team members as well as the Enrollment Unit Supervisor. The EUL provides subject matter expertise and serves as an escalation point for Enrollment Specialists, assisting with complex member and provider issues as they occur. 

    Responsibilities

    • Responds to member and provider calls in a courteous and professional manner, answering questions and inquiries regarding membership, eligibility, benefits, claims, policies and procedures. Completes forms and other paperwork
    • Educates members and providers on the guidelines and policies of PHC
    • Assesses and resolves problems within scope of authority; escalates unusual questions or problems to higher authority levels
    • Assists with development of training agendas and materials, provides training and guidance to Enrollment staff
    • Assists with the development of processes and operational memos and policies
    • Conducts monthly audits and call monitoring for Enrollment Specialists as determined by management
    • Call monitoring outbound and inbound calls to ensure completeness of work from Enrollment Specialist
    • Handles escalated calls or “Supervisor” calls
    • Assists walk-in members
    • Participates in special projects, tasks, and assignments as needed
    • Handles complex and lengthy issues that cannot be resolved by the Enrollment Specialist
    • Attends and delivers community presentations, orientations, and member intake presentations as needed
    • Processes enrollment data and provider changes
    • Assists with any member mailing notifications
    • Provides guidance and support in testing new systems and processes
    • Maintains a staff rotation schedule
    • Complete trainings as assigned
    • Models strong work habits and excellent customer service
    • Other duties as assigned

    Qualifications

    Education and Experience

    High School Diploma or equivalent; minimum three (3) years’ experience in a managed care customer service environment preferred.

     

     

    Special Skills, Licenses and Certifications

    Thorough knowledge of managed care and Member Services

    Policies and Enrollment Unit procedures preferred. Excellent understanding of all PHC policies and procedures relating to all aspects of care. Excellent understanding of external agencies that provide services to PHC members. Strong understanding about the Medi-Cal eligibility process. Working knowledge of business software applications. Proficient use of computer keyboard to access data. Bilingual skills in Spanish, Tagalog, or Russian are preferred. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.

     

     

    Performance Based Competencies

    Must have the following skill sets:

    ·        Strong oral and written communication 

    ·        Excellent Customer Service

    ·        Exceptional Organization skills

    ·        Solid Judgment and Analytical abilities

     

    Other required competencies and abilities

    ·        Prioritize issues

    ·        Handle sensitive issues with tack and diplomacy

     

    Work Environment And Physical Demands

    Ability to use a computer keyboard. More than 80% of work time is spent

    talking on the telephone and using a computer monitor. When required,

    ability to move, carry, or lift objects of varying sizes, weighing up to 25 lbs.

     

     

     

     

    All HealthPlan employees are expected to:

     

    • Provide the highest possible level of service to clients;
    • Promote teamwork and cooperative effort among employees;
    • Maintain safe practices; and
    • Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

    HIRING RANGE:

     

    $ 28.63 - $ 37.22

     

    IMPORTANT DISCLAIMER NOTICE

     

    The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

  • 21 Days Ago

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HIRING ASAP - Billing Representative
  • Aston Carter
  • Concord, CA FULL_TIME
  • Equivalent Experience Are you looking for a customer service opportunity that includes more than just inbound calls? Are you computer savvy and looking for an engaging opportunity where you utilizing ...
  • 9 Days Ago

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Enrollment Specialist I
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview To process non-Call Center functions of the Member Services Department. Responsibilities Processes enrollments and disenrollments for designated programs. Processes provider disenrollment and...
  • 22 Days Ago

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Entry Level Enrollment Specialist
  • Eagle Peak Solutions, Inc.
  • Hercules, CA FULL_TIME
  • Job Description Job Description Are you ready to turn a new leaf this year and fall head first into a new and fulfilling career? When you think about important qualities for your next employer to have...
  • 22 Days Ago

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Billing Coordinator
  • PrideStaff
  • Antioch, CA FULL_TIME
  • Thriving Construction company is seeking a Billing Coordinator for the Antioch location. This is a great opportunity to get your foot in the door with a dynamic company! WOW Factors : Industry leader,...
  • 4 Days Ago

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Billing Specialist
  • Eagle Ambulance
  • Rodeo, CA FULL_TIME
  • Description Eagle Ambulance is a fast-growing organization who is not only passionate about their patients’ care but also about their employee's well-being. We are currently seeking a comprehensive bi...
  • 1 Month Ago

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0 Enrollment & Billing Representative jobs found in Concord, CA area

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Financial Assistant - Hard Rock Cafe San Francisco
  • Hard Rock International
  • San Francisco, CA
  • The Financial Assistant now has a dual direct reporting line to the general manager and the Director of Finance. All fin...
  • 3/28/2024 12:00:00 AM

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Director of Finance
  • Sierra Pacific Synod Of Evangelical
  • Oakland, CA
  • Job Description Job Description The Sierra Pacific Synod of the Evangelical Lutheran Church in America (SPSELCA) is comp...
  • 3/28/2024 12:00:00 AM

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Sr. Finance Analyst, Retail Network Development
  • Lucid
  • Newark, CA
  • **Sr. Finance Analyst, Retail Network Development** Newark, CA / Finance & Accounting / Full-Time Exempt **Leading the f...
  • 3/28/2024 12:00:00 AM

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Finance Associate
  • Stanford University
  • Stanford, CA
  • Department of Neurosurgery is seeking a Finance Associate who will be a key member of the finance team and will be respo...
  • 3/28/2024 12:00:00 AM

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Director of Operations - Wealth Management
  • Judson Group
  • San Francisco, CA
  • Judson Group has been retained by a dynamic and growth-oriented independent RIA with $1.5B in AUM in the search for a Di...
  • 3/27/2024 12:00:00 AM

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Finance Associate - Residential & Dining Services
  • Avispa Technology
  • Stanford, CA
  • Finance Associate - Residential & Dining Services 1305568 A leading university is seeking a Finance Associate. The succe...
  • 3/27/2024 12:00:00 AM

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HR and Financial Administrator
  • Brown Creative Consulting
  • Berkeley, CA
  • At Brown Creative Consulting, our creative project is efficient business planning and management strategies for small, s...
  • 3/25/2024 12:00:00 AM

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Office Assistant (Finance)
  • WaveStrong, Inc.
  • San Ramon, CA
  • Founded in 2001, WaveStrong is an industry leader in enterprise and cloud information security consulting services. We p...
  • 3/25/2024 12:00:00 AM

Concord (/ˈkɒŋkərd/ KON-kord) is the largest city in Contra Costa County, California. At the 2010 census, the city had a population of 122,067 making it the 8th largest city in the San Francisco Bay Area. Founded in 1869 as the community of Todos Santos by Salvio Pacheco, the name was changed to Concord within months. The city is a major regional suburban East Bay center within the San Francisco Bay Area, and is 29 miles (47 kilometres) east of San Francisco. Concord is located at 37°58′41″N 122°01′52″W / 37.97806°N 122.03111°W / 37.97806; -122.03111. It is 29 miles (47 kilometres) northeas...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Representative jobs
$38,620 to $49,084
Concord, California area prices
were up 2.5% from a year ago

Enrollment & Billing Representative in Boca Raton, FL
Showing up in person often demonstrates determination and initiative that most employers will find alluring in a potential representative.
February 13, 2020