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.
Job Summary:
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.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Essential Functions:
- 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.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
