Company Details

Membership Representative I

Job ID

: 18963

Location

: Louisville, KY, USA

Salary

: $14.25 per hour

Job Views

: 52

Posted

: 10-11-2017

Job Description

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:

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. 

Required Skills:

  • 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.

 

Job Category
Customer-Service
Employment Types
Contract to Hire - W2
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