Premium Billing and Member Enrollment

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

Are you detail-oriented with a passion for helping members navigate their healthcare coverage? A leading community health organization is seeking dedicated administrative professionals to support member enrollment, ensure data accuracy, and provide meaningful community impact in a dynamic, mission-driven environment. In this temporary role, you will coordinate eligibility processes, assist members with network and provider update requests, perform data reconciliations using spreadsheets and databases, and support outreach initiatives. Successful candidates bring at least one year of eligibility or reconciliation experience, solid computer capabilities, and effective communication skills. Prior healthcare background or bilingual skills are preferred but required.

salary: $23.92 - $28 per hour

shift: First

work hours: 8 AM - 5 PM

education: High School

Responsibilities

• 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.

Skills

• Medical Billing

Qualifications

• Years of experience: 0 years
• Experience level: Manager

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Experience

• Manager

Education

• High School (required)