Remote Eligibility Coordinator – Health Plan Enrollment

SCAN; Long Beach (CA); Remote; USD 23,000 - 29,000; Full time

Benefits offered by this job

Medical Benefits

Paid Sick Time

401(k) Retirement Saving Plan

Robust employee recognition program

Job summary

SCAN Health Plan is seeking a temporary Eligibility Coordinator to maintain its core eligibility system, reconcile data, and ensure accuracy across multiple databases. The role emphasizes adherence to state and Federal regulations, accurate data entry in the IKA system, and high-quality member support.

The position involves training coworkers, handling a high volume of inquiries, and contributing to process improvements while maintaining strong customer service standards.

Qualifications

• High School Diploma or equivalent experience required.
• 0-3 years of related experience.
• MS Office - Word, Excel, Outlook, Teams, PowerPoint experience required.
• Problem solving - basic.
• Good verbal and written communication and interpersonal skills.

Responsibilities

• Process member applications by reviewing data for deficiencies; assigning codes to data; establishing data entry priorities, and resolving discrepancies by using departmental policies and procedures.
• Enter member data by inputting alphabetic and numeric information into IKA system according to screen format including benefit assignment, group affiliation, and provider selection, billing information, revenue codes and appropriate cross references.
• Verify eligibility for enrollment using state and Federal websites.
• Assist co-workers by training, updating processes, and assisting with job duties.
• Provide excellent customer services by making a high volume of outbound calls to members to clarify, obtain, and or confirm information needed to successfully complete member’s enrollment request.
• Complete requests received through Enterprise, Department Inbox, and Department Queue by responding appropriately and in a timely fashion to internal and external customers; by answering telephonic and written inquiries concerning eligibility issues; following department policies and procedures.

Skills

Leadership

Communication

Problem Solving

Education

High School Diploma or equivalent

Tools

MS Office Suite

Job description

SCAN Health Plan is seeking a temporary Eligibility Coordinator to maintain its core eligibility system, reconcile data, and ensure accuracy across multiple databases. The role emphasizes adherence to state and Federal regulations, accurate data entry in the IKA system, and high-quality member support.

The position involves training coworkers, handling a high volume of inquiries, and contributing to process improvements while maintaining strong customer service standards.