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JSG (Johnson Service Group, Inc.) · 1 day ago

Eligibility Specialist II

United States

Contract

Remote

Mid Level

$20/hr - $21/hr

3+ years exp

Johnson Service Group (JSG) is seeking an Eligibility Specialist II. This role involves evaluating employee eligibility, processing benefits enrollments and terminations, and providing support to employees regarding their benefits options.

B2BConsultingHuman ResourcesInternetStaffing Agency

Responsibilities

The Eligibility Specialists work with Excel and payroll records to develop 1095 reports

Qualification

ExcelHIPAACOBRAERISAHR softwareSpanishCustomer serviceEDI processingHealth insurance knowledgeTime managementCommunication skills

Required

High School diploma or equivalent and/or three (3) to five (5) years of accounting/business experience preferred

Intermediate knowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation

Proficient experience with Microsoft Office Suite. Excel

Strong knowledge of processing Electronic Data Interchange (EDI) file updates in a legacy system

Experience providing customer service to a variety of client contacts via email and telephone

Demonstrated ability to research and resolve technical issues and/or client problems as they arise with minimal direction

Written and oral communication skills including modern business communications, formatting of professional letters, reports, and phone etiquette

Demonstrated time management skills including, multi-tasking, working under pressure and deadlines, and working independently with minimal supervision or in a team environment

Intermediate knowledge of health insurance operations and industry

Ability to work overtime based on department needs and compliance

Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds

Home router with wired Ethernet (wireless connections and hotspots are not permitted)

A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)