Job Description
Location: Remote
Hours: M-F 8-5
The ideal candidate will have experience with 834 EDI, State (CA Client) and CMS files. This role's responsibilities include but are not limited to: Understanding all aspects of Enrollment Operations, Medicare Membership Enrollment, Reconciliation, and benefits coordination operations
Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment, business analysis and process improvement.
Required:
" High School Diploma or equivalent. Required
" Minimum of three to five (3-5) years' experience in a Medicare health plan or Managed Care Enrollment, Disenrollment and Reconciliation - Required.
" Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
" Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
" Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines.
" Strong knowledge of the health care model and other managed care MSO operations.
" Strong critical thinking and the ability to apply knowledge at a broad level is essential.
" Reliability and compliance with scheduling standards.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Hours: M-F 8-5
The ideal candidate will have experience with 834 EDI, State (CA Client) and CMS files. This role's responsibilities include but are not limited to: Understanding all aspects of Enrollment Operations, Medicare Membership Enrollment, Reconciliation, and benefits coordination operations
Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment, business analysis and process improvement.
Required:
" High School Diploma or equivalent. Required
" Minimum of three to five (3-5) years' experience in a Medicare health plan or Managed Care Enrollment, Disenrollment and Reconciliation - Required.
" Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
" Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
" Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines.
" Strong knowledge of the health care model and other managed care MSO operations.
" Strong critical thinking and the ability to apply knowledge at a broad level is essential.
" Reliability and compliance with scheduling standards.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Numbers & Facts
| Location | Los Angeles, CA (Remote) |
| Industry | Computer/IT Services |
| Company Size | 100 to 499 employees |
| Year Founded | 1997 |
| Website | https://www.tscti.com/careers-0 |
About Company
22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.
Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Skills
- Billingunmatched
- Business Analysisunmatched
- Centers for Medicare and Medicaid Services (CMS)unmatched
- Content Management Systems (CMS)unmatched
- Data Visualization Toolsunmatched
- Electronic Data Interchange (EDI)unmatched
- Establish Prioritiesunmatched
- Health Planunmatched
- Health Plan Membershipunmatched
- Healthcareunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medical Billingunmatched
- Medicareunmatched
- Microsoft Excelunmatched
- Microsoft Officeunmatched
- Microsoft PowerPointunmatched
- Microsoft Wordunmatched
- Operations Managementunmatched
- Process Improvementunmatched
- Reconciliationunmatched
- Regulatory Complianceunmatched
- Regulatory Requirementsunmatched
- Time Managementunmatched
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