Member Service Representative

CA

Posted: 09/13/2021 Job Category: None Job Number: 1959146 Pay Rate: $25.00/hour

Job Description

We are seeking a full time Bilingual Spanish Enrollment Clerk with a healthcare solutions company in Irvine. This role is a part of the Group Administration department and reports to the Group Administration Manager. The Enrollment Clerk will be responsible for enrollment processing of dedicated accounts, correspondences, administration support, and coordinate inquiries from Clients, Client Services, Associates, and Service Representative. Successful candidates in this role are proactive, self-motivated, and enjoys working in a collaborative team environment.

  • Responsibilities include the ability to manage tasks within client relationships and working to carry out client goals while meeting department goals. Such tasks include:
  • Enrollment of employer groups and individual members in health plan benefits
  • Servicing multiple clients concurrently, often meeting deadlines
  • Review and/or reconciliation of customer bills and invoices
  • Record keeping of adds, terms, changes, and bills.
  • Liaising with internal teams and colleagues to resolve problems and find solutions.
  • Support on all aspects of Commercial health plan and COBRA Administration
  • Providing Help Desk Support for Group Administration department as needed or on rotation.
  • This role may need to travel on rare occasions for company functions planned annually in advance.
  • This full-time role includes a traditional Monday to Friday day shift that has planned Saturday rotations on occasions based on the needs of the business.

Technical Skills
  • 2 or more years of experience in healthcare, benefit plans, office administration and service roles
  • Bachelor s degree in Healthcare Administration, Business Administration, or related fields
  • Proficient in Outlook, Word, Excel
  • Advanced Excel expertise is preferred.
  • Experience working in the following fields preferred: healthcare, business, or customer service-related fields.
  • Experience in leading projects: able to understand complex tasks and streamline workflows.
  • Strong Communication, professional written and verbal skills

  • Able to commute to Irvine, primarily remote work with flexibility to come to Irvine 1-2 times per week. Local candidates only
  • Has experience in managing projects and process and can find way to streamline work flows
  • Huge plus to have Healthcare background in billing and enrollment, group administration
  • Must have advanced excel expertise .
  • Must be fluent to speak Spanish
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