JP00043198

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Responsible for routine maintenance, updates, and reconciliation of enrollment databases for assigned markets, and resolution of fundamental enrollment issues. Analyzes and resolves moderate to complex errors resulting from automated file updates.

Primary duties may include, but are not limited to:

• Maintains and updates enrollment profiles for assigned markets, often requiring high volume data entry.
• Monitors receipt of State enrollment files and communicates issues to management.
• Responds to enrollment verification requests and updates applications accordingly.
• Researches and resolves eligibility inquiries, verifying basic enrollment/eligibility information and ensuring that the enrollment database reflects correct data.
• Researches and resolves membership discrepancies identified through monthly quality reports.

Requirements:

• Requires a high school diploma; 2+ years of experience in an analytical role; or any combination of education and experience, which would provide an equivalent background.
• AA/AS in Business,
• Healthcare or related field preferred.
• Enrollment experience
• Call center experience
• Customer service
• Eligibility
• Healthcare industry experience
• Annual LOC report – refreshed daily, Associate makes calls to individuals on the report who have had an annual LOC/Visit completed.
• SharePoint tacker to review assigned caseload.
• Telephonic financial reassessments
• Understand the Managed Long-term care program.
• Home Care Agency Intake process.
• Preferably some New York Medicaid background.
• 20 minutes to complete assessment for each person in household. (Could take longer if there are more than 1 person in the household)

Prefer Bilingual:

• Cantonese- Mandarin

Additional Details:

• Must live/work from state of NY (can work remotely) - shift is 8:30am -5pm
• Possible contract to hire.

BCforward 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, or protected veteran status and will not be discriminated against on the basis of disability.