Membership Associate

Aledade, Inc.; Grand Blanc (MI); On-site; USD 35,000 - 50,000; Full time

Job summary

Aledade, Inc. is seeking a Membership Associate to support the health plan enrollment process and manage client documentation effectively. The successful candidate will play a critical role in ensuring data accuracy, facilitating communications, and optimizing membership workflows. This position requires strong organizational skills, proficiency in office software, and the ability to work collaboratively in a healthcare environment.

Qualifications

• High School Diploma required.
• Proficient in Microsoft Word, Excel, Outlook, and PowerPoint.
• 2+ years in a healthcare-related administrative assistant or coordinator position preferred.

Responsibilities

• Participate in daily activities of the membership process.
• Compile and maintain accurate data for all providers.
• Ensure that provider terminations are processed accurately.

Skills

Time Management

Project Management

Organizational Skills

Communication Skills

Customer Service

Proactive Problem Solving

Education

High School Diploma

Associates Degree in Business Administration or Healthcare Administration

Tools

Microsoft Word

Microsoft Excel

Outlook

PowerPoint

Job description

The Membership Associate processes and maintains documentation related to MSO participation and health plan enrollment. Inputs and updates client data in the customer relationship management software. Maintains accuracy of membership roster for select physician organizations. Independently administers several assigned responsibilities, ensuring excellent customer service for both internal and external clients.

Primary Duties:

• Participate in daily activities of the membership process for clients & providers.
• Compiles and maintains current and accurate data for all providers in databases and online systems.
• Must have ability to audit data and make changes as appropriate with proper documentation.
• Monitors practice and physician applications and follows-up as needed. Communicate excessive timeframes for outstanding applications to the appropriate people.
• Ensure that provider terminations are processed accurately and in a timely manner.
• Collaborates with the practice coaches as needed to obtain accurate data for enrollment.
• Communicates with practices on a regular basis for physician updates, information requests, etc.
• Maintains confidentiality of sensitive physician information or membership documentation.
• Collaborates with MSO Operations Manager and Operations Consultant to reconcile physician lists and administrative payments.
• Work with membership team and MSO Operations Manager to optimize processes.
• Attends meetings as required.
• Performs other duties as assigned. Must be flexible in order to meet dynamic business needs.

Minimum Qualifications:

• High School Diploma required.
• Proficient in Microsoft Word, Excel, Outlook, and PowerPoint.
• Excellent time management, project management, organizational and communication (written and verbal) skills.
• Ability to work independently and proactively to identify and complete tasks on-time. Capable of prioritizing work and managing multiple priorities.
• Ability to interact effectively with external and internal customers and possess a professional business manner.
• Must be a team player and operate in a collaborative working environment.
• Adept with computers and software applications; aptitude for learning new technology.

Preferred KSA’s:

• Associates Degree in Business Administration or Healthcare Administration preferred, or equivalent combination of education and experience.
• 2+ years in a healthcare-related administrative assistant or coordinator position preferred.
• Knowledge and understanding of the credentialing process preferred