Enrollment Data Coordinator- Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 160941
Serves as the initial support for the Eligibility department and delivers excellent customer service and meet both organization and state guidelines and requirements. Assists Eligibility Analyst, Senior analyst, Supervisor and Director of Operations with all duties pertaining to member eligibility.
MINIMUM QUALIFICATIONS: Education/Specialized Training/Licensure: High School Graduate with two or more years of extensive experience within the medical field, preferably in the managed care and or Medicaid industry. Extensive knowledge of the Medicaid Product and or CHIP products, Eligibility and Benefits.
Work Experience: Two (2) or more years experience in a Health Care Call Center/Member Services Dept. with extensive group health insurance and Medicaid knowledge including but not limited to: claims, eligibility, cob, benefits, value added and vendor benefits, state entities, requirements and regulations.
Skills: Above Average Verbal (Heavy Public Contact) Bilingual Skills Required Languages: Spanish preferred Writing /Composing (Correspondence/Reports)
Other Skills: Analytical, Mathematics, Research, Statistical, P.C., MS Word, MS Excel
Specialty: Multi-tasker with excellent mathematic and analytical skills
Work Schedule: Flexible
Other Requirements: Excellent understanding of all CHC systems, able to use applications.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.