Dignity Health Benefit and Enrollment Technician in BAKERSFIELD, California
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Coordinate the membership enrollment process for various health plans to ensure information is accurately recorded and entered timely according to department guidelines. Responsible for reconciling membership against capitation payments received from delegated health plans.
Three or more years in an administrative function within a business officepreferably a managed care or other healthcare related environment.
General understanding of IPA, EPO and HMO structures, policies and procedures.
Knowledge of database software and strong data entry skills.
Familiar with QNXT and reconciliation/data loading tools preferred.
Strong in the use of Microsoft Office applications; Excel, , Access, ,
Familiar in the use of Microsoft Word and Outlook
Communication skills required for working within the team and assisting with third-party vendors for development, production and reconciliations.; able to read, write, and speak articulately, using established channels of communication and reporting relationships within the organization. Ability to communicate effectively with all levels of internal/external staff, management, physicians/physician office staff, vendors, etc.
Ability to handle various situations in a professional manner, demonstrating excellent customer service at all times and ability to adapt to change.
Strong problem-solving abilities. Ability to identify issues and problems within administrative processes activities, and other relevant areas.
Must be attentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments.
Thorough knowledge of generally accepted professional office procedures and processes.
High degree of professionalism and knowledge of business operations.
Ability to continually re-prioritize to meet the needs of internal and external customers throughout the workday.
Willingness to work as part of a team, working collaboratively with others to achieve goals, solve problems, and meet established organizational objectives.
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Job ID 2018-52455
Employment Type Full Time
Department Business System Configuration Support
Hours / Pay Period 80
Facility Dignity Health Management Services Organization
Standard Hours Mon-Fri (8-5 PM)