What are the responsibilities and job description for the Junior Eligibility Analyst position at Advanced Medical Management?
POSITION SUMMARY
The Junior Eligibility Analyst is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM.
RESPONSIBILITIES-DUTIES
- Responsible for verifying member eligibility including coordination of benefits.
- Responsible for responding to calls and/or emails requesting eligibility verification.
- Responsible for printing monthly welcome letters for new members.
- Responsible for printing monthly birthday letters for members.
- Responsible for printing weekly membership ID cards for CMSP.
- Responsible for manually entering new members in EZCAP after verifying eligibility though health plan portals or contacting the health plan by phone.
- Responsible for making appropriate changes in EZ-CAP regarding member demographics, PCP or benefit assignments, eligibility dates and terminations.
- Assist with various eligibility reports to eliminate duplicate members, verify eligibility for members that fall off the monthly eligibility files.
- Maintain an average of 50-member eligibility verifications daily and be concise in all work.
- Introduction to Onbase average 50-member eligibility verifications daily.
- Assist with any other tasks that may be assigned by Supervisor/Manager.
EDUCATION & EXPERIENCE REQUIREMENTS
- One (1) year experience in the medical field with knowledge of health plan eligibility verification processes
- Education: High School Diploma or equivalent
- Must have experience utilizing Microsoft Teams and Outlook and other Microsoft Tools
- Knowledge of EZ-CAP preferred.
- Data entry
- Team oriented
- Computer literate with keyboard skills
- Ability to function in a fast-paced environment
AMM BENEFITS
When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:
- Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
- Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
- Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
- Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
- Career Development: Tuition reimbursement to support your education and growth.
- Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!
Join AMM and experience a workplace where your health, growth, and happiness comes first!
Salary : $13
