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Membership and Enrollment Specialist 2 - Health Plan

Company

St. Luke's Health System

Location

Boise, ID

Type

Full-time

At St. Luke’s Health Plan, we’re on a mission to connect people with affordable, hassle-free health care. We are the only health plan in Idaho putting doctors and insurance on the same team to deliver a more efficient and quality health care experience with less stress. Join us in this bold ambitious journey. We’d love to hear from you!
What You Can Expect:
* Monday-Friday schedule
* Hours are 8-5
* Full Benefits with hospital contributions
* Performs enrollment, premium billing, and accounts receivable activities for Medicare Advantage and/or Part D members, handling both routine and moderately complex transactions with a high degree of accuracy
* Applies working knowledge of CMS enrollment regulations, eligibility rules, and premium billing requirements to ensure compliant administration of health plan products
* Investigates and resolves enrollment and billing issues of moderate complexity, such as payment discrepancies, retroactive adjustments, and enrollment ...

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