Advanced Medical Management, Inc.
Eligibility Coordinator
Role at Advanced Medical Management, Inc.
Position Summary The Eligibility Coordinator is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM.
Responsibilities
Verify member eligibility including coordination of benefits.
Manually enter new members in EZ-CAP after verifying eligibility through health plan portals or contacting the health plan by phone.
Make appropriate changes in EZ-CAP regarding member demographics, PCP or benefit assignments, eligibility dates and terminations.
Respond to emails requesting eligibility verification.
Print monthly welcome letters for new members.
Print monthly birthday letters for members.
Assist with various eligibility reports to eliminate duplicate members, correct/update incorrect addresses, verify eligibility for members that fall off the monthly eligibility files.
Maintain an average of 75-member eligibility verifications daily and be concise in all work.
Introduction to Onbase average 50-member eligibility verifications on a daily basis.
Assist with any other tasks that may be assigned by Supervisor/Manager.
Education & Experience Requirements
One (1) year experience in the medical field with knowledge of health plan eligibility verification processes.
Education: Highschool Diploma or equivalent.
Must have experience utilizing Microsoft Teams and Outlook and other Microsoft Tools.
Knowledge of EZ-Cap preferred.
Data entry.
Team oriented.
Computer literate with keyboard skills.
Ability to function in a fast-paced environment.
Amm Benefits
Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
Career Development: Tuition reimbursement to support your education and growth.
Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Advanced Medical Management, Inc. by 2x
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Position Summary The Eligibility Coordinator is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM.
Responsibilities
Verify member eligibility including coordination of benefits.
Manually enter new members in EZ-CAP after verifying eligibility through health plan portals or contacting the health plan by phone.
Make appropriate changes in EZ-CAP regarding member demographics, PCP or benefit assignments, eligibility dates and terminations.
Respond to emails requesting eligibility verification.
Print monthly welcome letters for new members.
Print monthly birthday letters for members.
Assist with various eligibility reports to eliminate duplicate members, correct/update incorrect addresses, verify eligibility for members that fall off the monthly eligibility files.
Maintain an average of 75-member eligibility verifications daily and be concise in all work.
Introduction to Onbase average 50-member eligibility verifications on a daily basis.
Assist with any other tasks that may be assigned by Supervisor/Manager.
Education & Experience Requirements
One (1) year experience in the medical field with knowledge of health plan eligibility verification processes.
Education: Highschool Diploma or equivalent.
Must have experience utilizing Microsoft Teams and Outlook and other Microsoft Tools.
Knowledge of EZ-Cap preferred.
Data entry.
Team oriented.
Computer literate with keyboard skills.
Ability to function in a fast-paced environment.
Amm Benefits
Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
Career Development: Tuition reimbursement to support your education and growth.
Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Advanced Medical Management, Inc. by 2x
#J-18808-Ljbffr