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Work Schedule/Shift

Not Available

Job ID

5000619725206

Req. No

70051647

Job Title

Supervisor Eligibility

Region

CHRISTUS System Office

Category

Billing/Collections (Medical)

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Supervisor Eligibility Job in Irving

Responsible for the management of the billing, collecting, post payment review, credit balances and correspondence functions of all member accounts. This position is responsible for managing and coordinating team efforts toward a specific service delivery function of the health plans. The position provides coaching, feedback, and corrective action to health plan associates where needed. Responsible for assuring that standard process discipline is followed and assures that high performance work team is developed through coaching, mentoring and daily team briefings.

  • Responsible for preparing, processing and maintaining new member or group enrollments.
  • Oversees the loading of new member or group data into the appropriate system.
  • Oversees the call center, monitoring calls related to member eligibility or group questions and verify enrollment status.
  • Responsible for reconciling eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes.
  • Supervises staff in their daily job functions to ensure the enrollment process is completed within the regulatory and quality standards
  • Meet and exceed department quality audits and provide coaching to team members
  • Maintain and prioritize eligibility discrepancies, analyzing transactional data and responding appropriately
  • Oversees internal enrollment agents, trains and supervises agents on the enrollment process
  • Handle all escalations courteously, politely and professionally
  • Act as back-up support for other managers as needed for meetings and other departmental responsibilities
  • Perform other duties as assigned
  • College degree and/or minimum of 5 years healthcare supervisory experience.
  • Demonstrated success with building and guiding a team to develop and monitor enrollment and eligibility functions within the health plan
  • General insurance license in all CHRISTUS Health Plan states
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