Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as a Membership Representative I position in a Fortune 500® corporation located in Louisville, KY!
Pay Rate: $14.25 per hour
Job Description Details:
Responsible for enrollment, billing activities and/or maintaining assigned accounts.
Must pass the appropriate pre-employment test battery.
Primary duties may include, but are not limited to:
Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers.
Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail.
May be responsible for billing and delinquency processes for assigned groups.
Ensures accuracy and timeliness of the membership and billing function.
Responds to inquiries concerning enrollment processes.
Maintains enrollment database.
May order identification cards.
Determines eligibility and applies contract language for each case assigned.
Performs error output resolution for electronic eligibility and processes error discrepancy list.
Bills, collects premiums and reconciles payments.
Maintains and reconciles premium bill, self-bill and individual billed accounts.
Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.
Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.
Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.
May be responsible for loading rates to new groups and renewal/re-class groups within the appropriate system.
Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate.
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.
Requires a HS diploma or GED; up to 1 year of related experience; or any combination of education and experience, which would provide an equivalent background.
Excellent analytical and problem solving skills.
Microsoft office skills.
Medicare knowledge preferred but not required.
Basic computer skills.
Typing skills, dependability and able to multi-task.
Perfect Attendance is a must. This is a critical time so being prompt daily is important.