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Ampcus Inc · 1 week ago

Technician, Enrollment II

United States

Full-time

Remote

Mid Level

3+ years exp

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. They are seeking a Technician, Enrollment II who will be responsible for ensuring accurate member enrollment into client systems and coordinating with various teams to resolve discrepancies. The role involves enrolling subscribers, coordinating member identification card processes, and assisting with training for new hires.

Data ManagementInformation Technology

Responsibilities

Enroll subscribers and dependents for all lines of business as requested via fax, U.S. mail, and/or e-mail for complex accounts

Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events

Complete monthly reconciliation processes and resolve discrepancies in a timely manner

Coordinate with the Account Installation Team as it pertains to member identification card process to ensure cards are not released until all enrollment updates are completed and audited

Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill

May assist with initial training for new hires and training refreshers for experienced hires

Qualification

FacetsExcelICD 10 knowledgeCPT knowledgeDetailed orientedQuick learnerMedical record uploadPaymentIntegrity analysis

Required

High School Diploma or GED

3 years' experience in membership enrollment, member services, billing, claims operations, and/or data analysis

Detailed oriented, quick learner

Conduent, Nasco is a plus

Facets must have

Excel is a must-have

ICD 10, CPT knowledge is a plus

Make detailed notes in spreadsheet

Medical record document upload in the system

Payment and integrity analyst

Preferred

Must be able to work effectively in a team environment, Proficient

Must be able to adapt swiftly to multiple and rapidly changing priorities, Proficient

Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Proficient

Must be able to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate client system, Proficient

Must be able to utilize Microsoft Office Suite, especially Excel, Proficient

Company

Ampcus Inc

Ampcus is a global business, technology consulting and an staff augmentation firm specializing in AI/ML,digital solutions, Cybersecurity & Risk management, Testing, Forensics & Fraud services and human capital management.

Founded in 2004

Chantilly, Virginia, USA

1001-5000 employees