Basic Computer Literacy : Microsoft Word, Microsoft Excel, Sharepoint, Outlook
Communication :
Speak up when they don't understand
Speak up in advance when they are concerned that they will not hit the deadline
Work Ethic :
Speak up when they are looking for work
Written communication should be professional and not harsh when providing feedback to another team member
Resilient :
Ability to pivot quickly
Ability to manage high volumes of work every day
Ability to manage time effectively to ensure they are working on the most important task
Has healthy coping mechanisms for maintaining composure when we are in the peak of open enrollment
Adaptability :
Shows an eagerness or hunger to keep learning
Has the ability to learn new software
Ability to connect the dots quickly and efficiently
Essential Functions :
Analyze and interpret documentation received from Sales (EGI, NGI, Revisions, Client Fact Sheet, etc.) to determine Facets setup, configuration, and accurately build a variety of fully-funded benefit options, group structures, and enroll members.
Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation, phone calls, written correspondence, and approved form letters.
Participate in cross-functional training opportunities and process improvement initiatives within Revenue Cycle during the non-peak open enrollment periods.
Works under minimal direction guided by established policies and procedures.
Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group / member discrepancies.
Maintain a basic understanding of all internal and external computer systems and reports that impact the group set-up and member enrollment process.
Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.
Qualifications :
Required High School Diploma or equivalent
Preferred Associate's Degree in business or health care related field
years of relevant experience in the healthcare industry or related field Required
Experience with FACETS Software in benefit and / or group configuration / maintenance or claims Preferred