Member Enrollment & Billing Specialist

Randstad USA; Orange (CA); In loco; USD 33.000 - 39.000; Tempo pieno

Descrizione del lavoro

Randstad USA is seeking detail-oriented administrative professionals to support member enrollment, ensure data accuracy, and make a meaningful community impact within a mission-driven healthcare organization. This temporary role coordinates eligibility processes and assists with network/provider updates, data reconciliations, and outreach initiatives.

Ideal candidates have at least one year of eligibility or reconciliation experience; healthcare background or bilingual skills are preferred.

Competenze

• Years of experience: 0 years
• Experience level: Manager
• Prior healthcare background or bilingual skills are preferred but required.

Mansioni

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Coordinates specialized processes, including eligibility analysis, strategic provider assignments, age restriction and complex condition member administration/monitoring and floor audits for the Medi-Cal program.
• Assists with completing various members requests, such as Change of Health Network Requests, primary care provider (PCP) change requests and data correction forms.
• Responds to questions and interprets policies and regulations.
• Prepares materials (e.g., letters/surveys, etc.) and coordinates data files to arrange for mail merge of materials as applicable.
• Assists with ensuring processes are accurate and compliant with the regulatory requirements by maintaining and documenting process workflows, desktop procedures and policies.

Conoscenze

Medical Billing

Formazione

High School (required)

Descrizione del lavoro

Randstad USA is seeking detail-oriented administrative professionals to support member enrollment, ensure data accuracy, and make a meaningful community impact within a mission-driven healthcare organization. This temporary role coordinates eligibility processes and assists with network/provider updates, data reconciliations, and outreach initiatives.

Ideal candidates have at least one year of eligibility or reconciliation experience; healthcare background or bilingual skills are preferred.