Hybrid Health Eligibility & Data Specialist

MaziCTools; United States; Hybride; USD 30 073 - 35 638; Plein temps

Résumé du poste

MaziCTools is seeking an Eligibility Specialist based in Petaluma, CA. This full-time, hybrid position focuses on health plan membership and data maintenance, emphasizing accuracy and efficiency in managing eligibility issues. Ideal candidates will have experience in healthcare eligibility processing and managed care systems.

The role also involves conducting quality audits and assisting with the production of analyses and reporting. Candidates must possess a high school diploma and at least one year of related experience.

Qualifications

• Minimum of 1 year of work experience in healthcare eligibility or enrollment.
• Experience with managed care systems is preferred.
• Proficient in Microsoft Office Suite.

Responsabilités

• Convert health plan raw data files to readable formats.
• Validate and upload monthly membership data.
• Conduct routine quality audits of eligibility uploads.

Connaissances

Healthcare eligibility processing

Data validation

Microsoft Office Suite

Effective communication

Critical thinking

Formation

High school diploma

Outils

Managed care systems (Medvision QuickCap 7, EZ-Cap, Epic-Tapestry)

Description du poste

MaziCTools is seeking an Eligibility Specialist based in Petaluma, CA. This full-time, hybrid position focuses on health plan membership and data maintenance, emphasizing accuracy and efficiency in managing eligibility issues. Ideal candidates will have experience in healthcare eligibility processing and managed care systems.

The role also involves conducting quality audits and assisting with the production of analyses and reporting. Candidates must possess a high school diploma and at least one year of related experience.