Advomas
Job Title: Health Plan Representative
Department: Health Plans
Reports To: Health Plan Director
FLSA Status: Non-exempt
Job Summary:
Health Plan Representative is responsible for contacting referred Health Plan members to assess for Social Security and Medicare benefit eligibility. Aiding in procuring documentation for eligibility applications and acting as support to the Social Security Representatives which could include scheduling appointments and monitoring for final resolution from Social Security Administration.
Supervisory Responsibilities:
This role has no supervisory responsibilities
Key Performance Metrics
Performance standards and expectations will be provided in a separate document upon hire.
This job description in no way states or implies that these are the only duties to be performed by this employee. Employee will be required to follow any other instructions and to perform any other duties as requested.
Competencies:
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical
Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
Problem Solving
Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions.
Communication
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees. Speaks clearly and persuasively; listens attentively and obtains clarification. Able to read and interpret written information.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Computer Skills
To perform this job successfully, an individual should have knowledge of user applications, such as, Internet Browser, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft SharePoint, Microsoft Windows 10+, Business Systems.
Certificates, Licenses, Registrations
Must be able to obtain HIPAA certification, including their application to digital information systems.
Education and/or Experience
High school diploma or general education degree (GED); or one to two years medical insurance and/or Social Security related experience and/or training not mandatory but preferred; or equivalent combination of education and experience. Some college preferred; not mandatory.
Advomas core values drive our mission and are at the
Heart of what we do to help patients and meet our client’s needs.
Innovative
As a company we try to be as transparent and open as possible.
- Highly Collaborative Culture–Every team member is able and encouraged to weigh in and contribute. Our company email group (MSTAFF) provides organizational objectives and status updates not only from leadership but from team members as well. In our never ending fast moving processes, we find it vital to get as many views as possible on important decisions and therefore hold weekly leadership meetings and team huddles both of which encourage our team members to be continuously open to new and better ideas
Compassionate
Our compassion is key to earning the trust and communication of the patients we are trying to help and is at the center of our organizational culture.
- Respect and Kindness– There is no pretentiousness, meanness, pettiness or disrespect on our team. We look out for each other and take care of each other like family.
Effective
We are results driven. Our patients and our hospitals are counting on us to find the highest payer source possible.
- Professionalism– We maintain the highest standards of privacy, productivity and effectiveness.
Job Type: Full-time
Pay: $19.00 - $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Shift:
Application Question(s):
- Do you have any experience in Medicare or social security application processes?
Language:
- any other language fluently. If so which one. (Preferred)
Location:
- Troy, MI 48083 (Preferred)
Work Location: In person
