Health Plan Eligibility Associate

Adventist Health•Roseville, CA

3d•Onsite

About The Position

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Adventist Health Roseville is seeking a Health Plan Eligibility Associate for a full‑time position with 8‑hour day shifts. We are looking for a qualified and dedicated individual who is able to work onsite at our Roseville, CA location. Coordinates all aspects of health plan eligibility and enrollment for the employee health plan. Performs clerical duties of eligibility management. Works on routine assignments within defined parameters, established guidelines and precedents.

Requirements

High School Education/GED or equivalent: Preferred
Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Coordinates all aspects of health plan eligibility and enrollment for the employee health plan.
Performs clerical duties of eligibility management.
Works on routine assignments within defined parameters, established guidelines and precedents.

Responsibilities

Performs all aspects of health plan eligibility for employees, including, but not limited to: new enrollments, terminations and changes.
Processes address changes and return mail for the eligibility team.
Completes member matching for claims that came through unmatched.
Provides information as needed for questions related to medical, dental, vision claims based upon the benefit descriptions, claims payments and processing and plan provisions.
Provides excellent service to members and human resources employees via phone and email inquiries.
Performs other job-related duties as assigned.