Job Overview:
Pay Range: $18.48hr - $23.48hr
Requirement/Must Have:
- High School Diploma or GED.
- 3+ years experience in membership enrollment, member services, billing, claims operations, and/or data analysis.
- Position requires performance in either service or claims for a minimum of 18 months at a meets standard level or above.
- Must have previous customer service and/or claims experience.
- Working knowledge of basic computer functions including Microsoft products, internet research and email communication.
- Experience using automated systems, PC or CRT proficiency.
- Ability to utilize Microsoft Office Suite, especially Excel.
- Ability to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software.
- Ability to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate systems.
Responsibilities:
- Enroll subscribers and dependents for all lines of business as requested via fax, U.S. mail, and/or e-mail for complex accounts.
- Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events.
- Complete monthly reconciliation processes and resolve discrepancies in a timely manner.
- Coordinate with the Account Installation Team regarding member identification card processes to ensure cards are not released until all enrollment updates are completed and audited.
- Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill.
- Assist with initial training for new hires and training refreshers for experienced hires.
- Interact and coordinate activity with key client account contacts, subscribers, sales, underwriting, finance, and information technology associates.
Nice to Have:
- Experience performing duties that are detailed in nature, exposure to health care, health insurance, medical information, and direct service experience is preferred.
- Exposure to project management and supervision is helpful.
Skills:
- Strong verbal and written communication skills.
- Innovative thinking and drive for results.
- Ability to interface with a culturally diverse population.
- Comfortable learning and working in a virtual environment.
- Proven ability to successfully complete distance learning such as webinars and eLearning.
- Work experience in a quality/production driven environment.
- Capability to navigate concurrently between multiple software systems with relative ease.
- Proven time and organizational management skills.
- Ability to work effectively in a team environment.
- Ability to adapt swiftly to multiple and rapidly changing priorities.
Qualification And Education:
- High School Diploma or GED.
Benefits:
Our Benefits Include:
- Medical, Dental, and Vision Insurance
- 401(k) Retirement Plan
- Health Savings Account (HSA)
- Disability Insurance (Short-Term and Long-Term)
- Life and AD&D Insurance
- Paid Sick Leave (where required by applicable state or local law)
- Supplemental Insurance Plans
- Identity Theft Protection
- Pet Insurance
- Employee Wellness Programs
- Employee Assistance Program (EAP)
- Career Growth and Professional Development Opportunities
Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.
About Cynet Systems
Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.
As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.