Job Description
Johnson Service Group (JSG) is hiring a Member Enrollment Program Assistant for an on-site assignment supporting the Premium Billing & Member Enrollment team for a Health Plan partner in Orange County, CA.
Work schedule: MondayFriday, 8:00 a.m.5:00 p.m.Pay rate: $24.00/hr - $33.50 per hour DOE
Key Responsibilities
Youll support day-to-day program operations and help keep enrollment processes accurate, compliant, and member-focused, including:
Work schedule: MondayFriday, 8:00 a.m.5:00 p.m.Pay rate: $24.00/hr - $33.50 per hour DOE
Key Responsibilities
Youll support day-to-day program operations and help keep enrollment processes accurate, compliant, and member-focused, including:
- Coordinating specialized enrollment processes (e.g., eligibility analysis, provider assignments, age restrictions, complex condition monitoring, and floor audits for the Medi-Cal program)
- Assisting with member requests such as health network changes, PCP change requests, and data correction forms
- Interpreting policies/regulations and responding to questions
- Preparing letters/surveys and coordinating data files (including mail merges)
- Documenting workflows, desktop procedures, and policies to support compliance
- Creating reports and tools; performing reconciliations using Excel and Access (sorts/merges, filters, compiling reports, database procedures)
- Supporting quality audits related to PHI/AOR and acceptance letter updates
- Conducting outreach to members, and to health insurance carriers to verify potential other health coverage (OHC)
- Sorting and tracking returned mail and maintaining accurate logs
- High school diploma or equivalent
- 1+ year of eligibility and/or reconciliation experience (or equivalent combination of education/experience)
- Medi-Cal and/or health insurance experience
- Experience in HMO/managed care settings
- Customer service experience
- Experience with DHCS/DMHC interactions and Medi-Cal practices
- Bilingual in English and one threshold language (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese)
Numbers & Facts
| Location | Orange, CA |
| Industry | Staffing/Employment Agencies |
| Salary | $24–$33.50 Per Hour |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 1984 |
| Website | https://www.jsginc.com/ |
About Company
At JSG, We Understand People
It is our mission to empower people, help our clients reach their goals, and hire motivated individuals.
Since our start in 1984, we’ve worked hard to establish our present position as the most effective cross-industry staffing and consulting solution available.
Headquartered in Chicago, IL with local offices throughout the United States and Canada, JSG proudly serves a diverse range of industries with the right solutions to help clients reach their company goals. Our client-centric approach enables us to create personalized solutions for businesses in need of top-tier talent. Our dedication doesn’t stop at our clients. We strive to connect candidates with opportunities that match their skills and goals. More than just a go-between, we are a dependable bridge, uniting top talent with suitable opportunities, facilitating shared opportunities and growth.
Skills
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