Offer summary
Qualifications:
Bachelor's Degree or equivalent experience, 3+ years' experience in healthcare claims, enrollment, or Call Center.
Key responsabilities:
- Conduct quality reviews of medical claims and Call Center activities
- Verify accuracy of ID Cards, Welcome Kits, and Enrollment entries
- Summarize review results for leadership with feedback for improvement
- Monitor verbal and written communications for professionalism and compliance
- Identify claim errors, track results, and update metrics accordingly