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Software Guidance & Assistance

Job Details

Skills

LOS
Collaboration
Billing
Microsoft Office
Microsoft Excel
Microsoft PowerPoint
Data Visualization
Health Care
Critical Thinking
Regulatory Compliance
Scheduling
Electronic Data Interchange
Medicare
Medicaid
Business Analysis
Process Improvement
MEAN Stack
Customer Service
Training And Development
SAP BASIS

Summary

Software Guidance & Assistance, Inc., (SGA), is searching for a Sr. Enrollment Representative for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA .

Responsibilities :

This role's responsibilities include but are not limited to: Understanding all aspects of Enrollment Operations, Medicare Membership Enrollment, Reconciliation, and benefits coordination operations.

Required Skills:

High School Diploma or equivalent. Required
Minimum of three to five (3-5) years' experience in a Medicare health plan or Managed Care - Enrollment, Disenrollment and Reconciliation - Required.
Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines.
Strong knowledge of the health care model and other managed care MSO operations.
Strong critical thinking and the ability to apply knowledge at a broad level is essential.
Reliability and compliance with scheduling standards.

Preferred Skills:

The ideal candidate will have experience with 834 EDI, State (CA DHS) and CMS files.
Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment, business analysis and process improvement.

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.
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Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: sgainc
Position Id: 26-01806
Posted 23 hours ago

Company Info

About Software Guidance & Assistance

Founded in 1981, SGA is a technology and resource solutions provider with a national footprint and headquartered in the shadow of Wall Street. We’re a certified women-owned business. We provide contingent staffing, direct placement, and professional and managed services to transform businesses and evolve careers. We’re small enough to tailor our services to each client and big enough to deliver for some of the world’s largest employers. Our professionals are experts in areas such as IT, finance, accounting, risk, and clinical.

SGA provides contingent staffing, direct placement, and professional and managed services nationwide for Fortune 500 companies, mid-size businesses and select startups.

Our core skillsets include all areas of technology – business & data analysis, cyber & network security, database administration, development & architecture, infrastructure, program & project management, quality assurance & testing. We also deliver talent across professional business functions such as finance, accounting, risk, and clinical.

Our Professional & Managed Services team delivers IT projects through onshore, offshore and hybrid delivery models. We develop software products, modernize applications, add features, and integrate and maintain systems. Our scope covers, among others, complex application suites, data management and visualizations, machine learning and mobile applications.

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Software Guidance & Assistance

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