USNLX Diversity Jobs

USNLX Diversity Careers

Job Information

Independent Health Membership Operations Processor in Buffalo, New York

FIND YOUR FUTURE

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.

Overview

The Membership Operations Processor is responsible for processing membership data for all relevant products and services while meeting or exceeding production, accuracy and service level standards. They are required to make decisions within their authority that lead to improved measures or service levels with a focus on member centricity. Their general duties include but are not limited to coding enrollment forms, data entry, entry audits, eligibility verification, return mail processes and supporting the service center and billing processes for all products and services. Over time and holiday work may be required to meet service standards.

Qualifications

  • High School diploma or GED required. Associates degree from an accredited institution preferred.

  • One (1) year of data entry processing and/or customer service experience required; health care industry experience preferred.

  • Demonstrated ability to work independently under strict deadlines, maintain confidentiality and make decisions commensurate with position responsibilities.

  • Proven organizational, analytical, decision making, written and verbal communication skills required.

  • Demonstrated ability to work collaboratively with others at all levels of an organization, internally and externally to achieve common goals.

  • Ability to work overtime, weekends and holidays is required and a condition of employment.

  • Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Essential Accountabilities

Enrollment Processor

  • Responsible for meeting or exceeding production, accuracy and service level standards on all membership systems in support of Independent Health Products and services.

  • Identify missing and invalid information and follow standard policy and procedures to resolve.

  • Perform data entry functions in appropriate system(s) to support of the ongoing creation and maintenance of membership enrollment data including new adds, reinstatements, changes to existing records, cancellations, PCP auto assigns, ID card requests, and other miscellaneous updates.

  • Perform verifications and processes required to maintain compliance with Federal, State, County and internal regulations and ensure superior customer service.

Regulation / Quality Improvement

  • Remain informed of current and upcoming changes in State, Federal and internal regulations. Participate in and review updates to departmental processes and policy to remain in compliance. Recognize quality improvement opportunities and communicate suggestions.

Immigration or work visa sponsorship will not be provided for this position

Hiring Compensation Range: $18 hourly

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.

Current Associates must apply internally via the Job Hub app.

The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.

Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.

We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.

We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.

Apply today and join us on the journey to a happier, healthier, and more inclusive community.

We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. We are a drug-free workplace. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.

Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.

DirectEmployers