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Location: Houston, Texas
Type: Full Time
Internal Number: 166860
JOB SUMMARY: The Enrollment Data Specialist performs operational solutions to optimize membership enrollment and premium billing accuracy and collaborates and supports internal and external customers. This position researches and reconciles systemic eligibility/enrollment or premium billing /payment discrepancies to arrive at a consistently compliant disposition and operates in a fast-paced environment with frequent priority changes. The Enrollment Data Specialist is held responsible for understanding and abiding by State, Federal, and organizational guidelines for various lines of business related to Membership enrollment and reconciliation.
High school diploma
Work Experience: Two (2) years related experience with health insurance, managed care, or customer service; Knowledge of eligibility files /premium billing, Medicaid, Marketplace, Medicare preferred
Management Experience : N/A
Software Operated: Microsoft Office ( Word, Excel, and Outlook), SQL a plus
Exceptional Verbal Writing /Composing: Correspondence / Reports
Other Skills: Mathematics, Medical Terminology, Research, Statistical
Work Schedule: Flexible, Overtime
Excellent interpersonal, verbal, written, and listening communication skills with a high level of comfort in recommending and implementing solutions.
Strong analytical, problem solving, mathematic, organizational, prioritization and time management skills.
Ability to work efficiently, pay strong attention to detail and deliver high quality results in a deadline driven environment, while effectively managing associated stress.
RESPONSIBLE TO: Supervisor/Manager
EMPLOYEE SUPERVISED: N/AAbout Harris Health SystemThe Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.Show moreShow lessMore Jobs from This Employerhttps://careers.qualityforum.org/jobs/18602119/enrollment-data-specialistLoading. Please wait.