Enrollment Reconciliation Specialist - SCAN Temp

Scan-Health-Plan; Long Beach (CA); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Medical Benefits

Paid Sick Time

401(k) Retirement Savings Plan

Annual bonus program

Mostly remote work

Job summary

SCAN Health Plan in California seeks an Enrollment Reconciliation Specialist for a temporary assignment. You will review claims for irregularities, request information as needed, and help ensure eligibility and accurate processing while supporting AI-powered operations.

This mostly remote role offers medical benefits, paid sick time, and an annual bonus program. Ideal candidates have a high school diploma, 0-3 years of experience, and strong MS Office skills.

Qualifications

• High School Diploma or equivalent required.
• Associate's Degree or equivalent experience or Technical Degree preferred.
• 0-3 years of related experience.
• Advanced skills required in MS Office - Word, Excel, Outlook, Teams, PowerPoint, Access.
• Performs work under direct supervision.
• Handles basic issues and problems, and refers more complex issues to higher-level staff.
• Good written and verbal communication and interpersonal skills.

Responsibilities

• Review claims for irregularities, accuracy and completeness.
• Request additional information as needed for claim processing.
• Review claims for eligibility and maintain updated records.
• Prepare required reports and assist in claims cost control.
• Contact individuals about claims and provide counsel regarding benefits.

Skills

MS Office

Communication

Education

High School Diploma or equivalent

Associate's Degree or equivalent experience

Tools

MS Office Suite

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Enrollment Reconciliation Specialist - SCAN Temp reviews claims for irregularities, accuracy and completeness. You Will Requests additional information, when necessary, for completion of claim processing. Reviews claims for eligibility. Maintains updated records and prepares required reports. Assists in claims cost control. Contacts individuals about claims and may provide counsel regarding the amount of benefits. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Your Qualifications

• High School Diploma or equivalent required.
• Associate's Degree or equivalent experience or Technical Degree preferred.
• 0-3 years of related experience.
• Advanced skills required in MS Office - Word, Excel, Outlook, Teams, PowerPoint, Access.
• Performs work under direct supervision .
• Handles basic issues and problems, and refers more complex issues to higher-level staff .
• Possesses beginning to working knowledge of subject matter Communication - Good written and verbal communication and interpersonal skills.

What's in it for you?

• This is a temporary opportunity for a limited period of time.
• Base Pay Range: $21.00 to $23.00 per hour.
• Work Mode: Mostly remote.
• Medical Benefits.
• Paid Sick Time.
• Excellent 401(k) Retirement Saving Plan.
• Robust employee recognition program.
• An opportunity to become part of a team that makes a difference to our members and our community every day!

Equal Opportunity and Inclusion

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Aff...

A background check is required.

41 CFR 60-1.35(c)

Become part of a mission-driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.

Why consider a career at SCAN?

• A competitive compensation and benefits program
• An annual employee bonus program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year
• Excellent Retirement Savings program
• A work-life balance
• An opportunity to become part of a team that makes a difference to our members and our community every day!