Kelly Services has recently partnered with a leading 3rd party Health Benefits Administrator, seeking a Supervisor of Eligibility to join their team. In business for over 10 years, our client is dedicated to offering a wider array of options for their clients resulting in tens of thousands of insured lives. The Eligibility Supervisor will lead a team and guide the development of knowledge of products, benefits, quality requirements and organization procedures as well as resolve issues. Apply today for immediate consideration!
Duties
Prepare, analyze and monitor eligibility reconciliation to ensure that all exceptions and rejected data have been researched and updated
Provide direction to team on issues/questions relating to eligibility and enrollment programs and tools
Manage the eligibility processes to maximize operational goals and objectives, including identification and implementation of opportunities for automation
Create, edit, and clearly communicate documentation that serves as a resource and reference material. Disseminate all updates.
Ensure staff understanding and application of local, state and federal laws and guidelines related to benefits
Identify and monitor key performance indicators to meet quality, time, service, and productivity goals.
Provide robust reports to track enrollment and respond to ad hoc requests for data
Create and monitor standard reports to identify issues and/or trends impacting performance; take action to identify root cause and pursue remedies
Conduct and review audits and analyses on completed member data load processes and monitor eligibility loads, data updates and all internal/external requests. Identify and analyze trends in data, review error reports, and process discrepancies
Deliver functional training to team and clients
Conduct effective resource planning to maximize productivity and turn-around time
Conduct feedback sessions with a regular cadence to review metrics, performance and quality of team members; identify successes and opportunities
Motivate and encourage direct reports through positive communication and feedback. Coach and correct as needed.
Qualifications
Strong working knowledge of the HIPAA ANSI 834 5010 required
Associate degree in a field related to managing enrollment in the healthcare field such as business administration, accounting, finance, or a related field or equivalent experience; bachelor degree or equivalent experience preferred.
3+ years of experience in a supervisory role in a healthcare member enrollment/eligibility setting where HIPAA and HITECH standards are utilized, preferably in a healthcare TPA
Experience with benefit administration platforms such as Javelina preferred
Knowledge of Cobra administration preferred
Working familiarity with self-funded and Section 125 eligibility rules
Solid working knowledge of standard computer applications including MS Word, Excel Outlook, and PowerPoint
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
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About Kelly
Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.
Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Seniority level
Not Applicable
Employment type
Full-time
Job function
Administrative
Industries
Staffing and Recruiting
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