Enrollment and Benefits Technician- Bakersfield 1.1
$47,840–$59,779 year
On-site · Bakersfield, California, United States
Job Summary
Coordinate the membership enrollment process for Universal Healthcare MSO’s health plan members to ensure all information is accurately recorded and processed in a timely manner, reconcile membership records against capitation payments from health plans, verify member information (including Primary Care Physician assignments, effective dates, coverage details, termination dates, addresses, and plan benefits), respond to general eligibility inquiries with exceptional customer service, maintain eligibility records in the database to ensure accuracy and compliance, and assist Configuration teams (including Contracting and Provider Network Management) to support department objectives and deadlines.
Required Qualifications
- Minimum of 3 years in an administrative role with relevant experience (e.g., office administration, insurance services, or customer service)
- High School Diploma or GED required
- 3+ years of experience in the Managed Care or Healthcare industry preferred
- Associate’s or Bachelor’s degree in Business Administration or a related field preferred
- Certification in Healthcare Administration or Managed Care is a plus
- Advanced Excel skills, including pivot tables, VLOOKUP, and data analysis, are highly desirable
- Familiarity with process improvement methodologies (e.g., Lean, Six Sigma) is a plus
- Strongly preferred: experience with health plans and insurance eligibility verification
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