Supervisor, Eligibility

Imagine360; United States; Remote; USD 72,000 - 88,000; Full time

Job summary

Imagine360 is seeking a Supervisor, Eligibility to lead a remote team responsible for coaching, training, and supervising staff in eligibility transactions. The role requires a Bachelor's degree and 3-5 years of health insurance experience, with a focus on detail-oriented problem solving and strong communication skills. Experience in managing staff and operational procedures is essential. Join a leading company dedicated to providing innovative health care solutions in a flexible work environment.

Benefits

Multiple Health plan options

Company paid employee premiums for disability and life insurance

Parental Leave Policy

20 days PTO to start / 10 Paid Holidays

Tuition reimbursement

401k Company contribution

Company paid Short & Long term Disability plus Life Insurance

Professional development initiatives / continuous learning opportunities

Diversity and inclusion initiatives

Qualifications

• 3-5 years of health insurance experience required or equivalent combination of education and experience.
• Strong technology skills (Microsoft products).
• Proven subject matter expertise.

Responsibilities

• Responsible for ongoing support, development and supervision of staff.
• Coaching and training of eligibility transactions.
• Managing team payroll, PTO, and attendance.

Skills

Attention to detail

Problem-solving

Communication

Teamwork

Technical skills

Education

Bachelor's degree preferred

High School Diploma or GED required

Job description

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Imagine360 is seeking a Supervisor, Eligibility to join the team! The Supervisor of Eligibility is responsible providing ongoing support, development and supervision of staff in conjunction with the department Director. Coaches, trains and assist staff with eligibility transactions, assists with department training and supports Director as needed.

Position Location: 100% remote

Responsibilities include but are not limited to:

• The Supervisor of Eligibility is responsible providing ongoing support, development and supervision of staff in conjunction with the department Director.
• Coaches, trains and assist staff with eligibility transactions, assists with department training and supports Director as needed.
  
  
  

Supervisory Duties:

Primary point of contact for team questions, issues or assistance needs. Demonstrating knowledge of systems in addition to department operating procedures.

Coaching, feedback and development of staff production and quality goals.

• Including:
• Monthly one on ones with team members.
• Monthly supervisor lead team meetings, with specific agenda.
• Ad hoc coaching or feedback when required
• Training and development of new hires
• Review incoming quality audits and coach staff as appropriate. Supervisor team quality and collaborate with internal quality assurance team.
• Handle escalated or sensitive requests that are beyond the scope of the Eligibility Administrators.
• Manage team payroll (isolved), PTO and attendance.
• Work in conjunction with Eligibility Director to administer and track progressive disciplinary actions as related to performance, attendance or conduct when appropriate and as necessary.
  
  
  
Additional Duties/Responsibilities:

• Excels in multi-tasking to manage, delegate, and/or respond to eligibility requests.
• Examine enrollment forms and interpret plan document to determine eligibility
• Update adds, changes, and terminations of employees on system
• Post payments to accounts by bill group
• Provide accounting with breakdown on billing to distribute revenues received
• Provide PBM with adds, changes, and terminations
• Receive and check PBM cards and mail with cover letter to group
• Run mandatory reporting as assigned.
• Participate in implementation, fact sheet, and other meetings as needed.
• Perform other duties as assigned
• Perform all tasks in accordance with HIPAA guidelines
• Complete HIPPA training
  
  

Required Experience/Education:

• Bachelor's degree preferred
• High School Diploma or GED required
• 3-5 years of health insurance experience required or equivalent combination of education and experience.
  
  
  

Skills and Abilities:

• High level of accuracy and attention to detail.
• Strong technology skills (Microsoft products)
• Superior, established problem-solving skills. Ability to implement solutions with little supervision in a fast paced, environment and provide supervision and mentorship to their team
• Strong verbal and written communication skills with the ability to resonate with others to impact positive outcomes.
• Team player able to collaborate with other departments.
• Proven subject matter expertise.
  
  
  

What can Imagine360 offer you?

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives
  
  
  

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Insurance

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