Oficinista de Afiliaciones - TEMPORERO
Tempoero - AEP
Non-Exempt
GENERAL DESCRIPTION:
Responsible for general office activities such as generating letters from a system, data entry, validating information, and updating
members' information in the systems. Also, typing, responding to written and verbal inquiries to provide information and/or
guidance, processing correspondence, and attending incoming telephone calls, among others. Enhance timeliness standards and
exceed departmental standards for data accuracy. Assists other personnel to support the completion of their work activities.
Attends meetings as assigned to gather information required to perform functions.
ESSENTIAL FUNCTIONS:
Conduct maintenance systems reconciliations and discrepancy reports.
Correcting data in the company application-designed systems.
Validate the information receipt on the Transactions Reply Codes (TRC) between systems such as Voyager and
Centers for Medicare and Medicaid Services (CMS).
Validate that all emails received in the unit were responded.
Generate letters from the MCS application system (Voyager).
Documents spreadsheets according to the Retroactive Processing SOPs.
Create tickets in the CMS system.
Maintains logs and records and compiles information, as needed.
Generate queries and refer the cases to the personnel assigned for analysis.
Documents all updates made in the systems.
Collaborate with other team members on special projects as assigned by the Supervisor.
Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with
the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience
contained in this document.
MINIMUM QUALIFICATIONS:
Education and Experience: Associate Degree or 60-64 college credits. At least six (6) months to one (1) year of experience in group and individual enrollment processes, preferably in the Health Insurance Industry.
"Proven experience may be replaced by previously established requirements."
Certifications / Licenses:
N/A
Other:
Experience in advantage products is preferred.
Languages:
Spanish –
Intermediate (comprehensive, writing and verbal)
English –
Basic (comprehensive, writing and verbal)
"Somos un patrono con igualdad de oportunidad en el empleo y tomamos Acción Afirmativa para reclutar a Mujeres, Minorías, Veteranos Protegidos y Personas con Impedimento
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