Top 150 Membership representative Jobs in Milwaukee, Wi

Representative, Enrollment - Remote in Madison or Milwaukee
Molina Healthcare —Milwaukee, WI
- $13.55 - $26.42 an hour
- Full-time
- Remote
- HIPAA
- Research
- Data entry
- Health insurance
12d
PATIENT ACCESS SERVICE REP, FCP - PATIENT CARE GENERAL - LINCOLN
Froedtert Health —West Allis, WI
- Part-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Continuing education credits
- Disability insurance
PATIENT ACCESS SERVICE REP, FH - CLINIC-REHAB MEDICINE
Froedtert Health —Milwaukee, WI
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Continuing education credits
- Disability insurance
5d
PATIENT ACCESS SVC REP FLOAT
Froedtert Health —Milwaukee, WI
- Part-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Continuing education credits
- Disability insurance
Member Services Representative
Planet Fitness —Milwaukee, WI
- $15 an hour
- 18 years or older
- Computer literacy
- High school diploma or GED
- Opportunities for advancement
Quick Apply
Emergency Services Dispatcher
City of Greenfield —Greenfield, WI
- $30.84 an hour
- Extended hours
- Basic math
- Pass drug screening
- High school diploma or GED
- Paid holidays
- Tuition reimbursement
Membership Sales Representative
Urban Air Adventure Parks —Milwaukee, WI
- Evening shift
- Communication skills
- Entry level
ACCESS SERVICES REP, FCH - ACCESS SERVICES
Froedtert Health —Menomonee Falls, WI
- Part-time
- High school diploma or GED
- Home Health
- Military encouraged
- Continuing education credits
- Disability insurance
Member Service Representative (Full-Time)
Brewery Credit Union —Milwaukee, WI
- From $16 an hour
- Full-time
- No experience needed
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
14d
Construction Project Manager
EquipmentShare —Milwaukee, WI
- Background check
- Clean driving record
- Up to 50% travel
- Paid holidays
- Health insurance
Quick Apply
Program Attorney - Legal Service Department
UMOS —Milwaukee, WI
- $67,969 - $88,272 a year
- Full-time
- Bilingual
- Spanish
- English
- Health savings account
- AD&D insurance
Member Service Representative II, Full-Time (West Milwaukee)
GUARDIAN CREDIT UNION —Milwaukee, WI
- Full-time
- Office
- High school diploma or GED
- Typing
Floating Lead Member Service Representative, Full-Time (Waukesha)
GUARDIAN CREDIT UNION —Waukesha, WI
- Full-time
- Management
- Mid-level
- Office
Development Manager
CPM, Inc. —Menomonee Falls, WI
- $90,000 - $120,000 a year
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid parental leave
- Paid holidays
Quick Apply
Member Service Representative II, Full-Time (South Milwaukee)
GUARDIAN CREDIT UNION —South Milwaukee, WI
- Full-time
- Office
- High school diploma or GED
- Typing
Member Service Representative II, Full Time (Oak Creek)
GUARDIAN CREDIT UNION —Oak Creek, WI
- Full-time
- Office
- High school diploma or GED
- Typing
Member Service Representative II, Full-Time (West Allis)
GUARDIAN CREDIT UNION —West Allis, WI
- Full-time
- Office
- High school diploma or GED
- Typing
Construction Superintendent - Midtown Commons
Gorman General Contractors, LLC —Milwaukee, WI
- $105,000 - $125,000 a year
- Full-time
- Management
- Construction site
- Driver's License
- Paid parental leave
- Paid holidays
Quick Apply
Overnight Member Service Representative
Planet Fitness —Milwaukee, WI
- $16 an hour
- Overnight shift
- 18 years or older
- Computer literacy
- High school diploma or GED
- 401(k)
- Opportunities for advancement
Quick Apply
Clinical Outreach Representative
AMFM Healthcare —Milwaukee, WI
- $90,000 - $120,000 a year
- Full-time
- Google Workspace
- Marketing
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply

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Representative, Enrollment - Remote in Madison or Milwaukee

Molina Healthcare -
Milwaukee, WI

Apply Now

Job Details

Full-time
$13.55 - $26.42 an hour
12 days ago

Benefits

Health insurance

Qualifications

Customer communication
Customer relationship building
Client rapport building
HIPAA
Employee relationship building
Health information regulatory compliance
Productivity software
Proofreading
Clinical confidentiality policies
Stakeholder relationship building

Full Job Description

JOB DESCRIPTION Job SummaryProvides support for member enrollment activities including preparation, processing and maintenance of new members and reenrollment. Processes and maintains health plan member and enrollment records, employer monthly reports and sends membership cards and materials accordingly. Provides customer service to plan members, providers, and employer groups by answering benefit questions, verifying enrollment status, researching and resolving enrollment system rejections and issues and providing support to callers.

Essential Job Duties

Resolves the following member eligibility exceptions within the required state/regulatory timeframes: member enrollment file errors, identification (ID) card generation errors, primary care physician (PCP) assignments and 834 enrollment files to vendor/third party administrators.
Processes member coverage of eligibility (COB) to ensure accurate information is represented in Molina’s enrollment system.
Assists with the support of newborn enrollment functions to include: call center requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity and mass member moves.
Manages claims queue to ensure timely and accurate processing of claims pended due to enrollment or COB related issues.
Serves as subject matter expert (SME) for application data entries for the enrollment process.
Processes mail returned by members - providing updates or requested information.
Processes mail returned for insufficient or inaccurate addresses; remails as indicated, and reports inventory as required by department policy.
Maintains the intake process for department e-mails and distributes as appropriate.
Facilitates the IServe process and makes assignments to the vendor and/or senior level support as appropriate.
Completes the Centers for Medicare and Medicaid Centers (CMS) Online Enrollment Center (OEC) process - pulling applications from the online portal and managing the intake process accordingly.

Required Qualifications

Up to 1 year of experience in health care, and/or customer/provider services experience, or equivalent combination of relevant education and experience.
Customer service experience.
Data processing and proofing experience.
Attention to detail, organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $13.55 - $26.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

membership representative jobs in milwaukee, wi

Representative, Enrollment - Remote in Madison or Milwaukee

PATIENT ACCESS SERVICE REP, FCP - PATIENT CARE GENERAL - LINCOLN

PATIENT ACCESS SERVICE REP, FH - CLINIC-REHAB MEDICINE

PATIENT ACCESS SVC REP FLOAT

Member Services Representative

Emergency Services Dispatcher

Membership Sales Representative

ACCESS SERVICES REP, FCH - ACCESS SERVICES

Member Service Representative (Full-Time)

Construction Project Manager

Program Attorney - Legal Service Department

Member Service Representative II, Full-Time (West Milwaukee)

Floating Lead Member Service Representative, Full-Time (Waukesha)

Development Manager

Member Service Representative II, Full-Time (South Milwaukee)

Member Service Representative II, Full Time (Oak Creek)

Member Service Representative II, Full-Time (West Allis)

Construction Superintendent - Midtown Commons

Overnight Member Service Representative

Clinical Outreach Representative

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