JOB SUMMARY

Responsible for processing reports, reconciling transactions and updating the system. Create and maintain customer eligibility in the company database, generate customer correspondence for new packets, assemble and distribute customer handbooks and process notifications.

KEY RESPONSIBILITIES

Create and maintain customer eligibility in the database. Generate appropriate correspondence and ID cards. Review and process files and reports. Mail customer notices and requests for prior coverage information per guidelines. Update the system with changes to enrollment. Processes renewal routes for employer groups and sends customer letters and ID cards. Audit cards before they are printed and mailed by the vendor. Review and update policies and procedures. Perform other job-related duties as assigned.

QUALIFICATIONS

Possess strong oral and written communication skills. Ability to work independently with limited supervision. Ability to effectively communicate with all levels of personnel. Ability to work on multiple projects concurrently. Strong problem solving & critical thinking skills. Must have high attention to detail. Successful completion of Health Care Sanctions background check. Proficient in Microsoft applications.

EDUCATION/EXPERIENCE

High school diploma or equivalent required. One to three years of experience; preferably in a managed care environment. CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin