Job Description

This position represents {7} openings.To work as a team member of the California Srv Center (CSC) which is the Membership Accounting & Contracts Administration functions for the California Division. The overall objectives of this position is to perform the account maintenance, billing, reconciliation, reporting & customer srv related activities. Duties also include performing database maintenance & research tasks to support the contracts administration, cash control operations & assignment of medical record numbers, to generate & distribute contracts & member I.D. cards, to provide facilities support & to enter documents into the workflow imaging system.Essential Functions:Identifying, researching & reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue & membership records.Setting up & maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments & terminations.Supporting eligibility inquiries.Ensuring bills are correct & mailed timely.Interacting w/ purchaser benefit administrators to answer questions & explain Health Plan policy & contractual provisions related to membership & billing.Resolving related problems.Assisting Health Plan purchaser contacts & sales & srv representatives in the sales process & the analysis & resolution of problems related to membership accounting.