Marketplace Enrollment and Appeals Specialist (PA2) Limited Duration 12 months
Salem | OHA | Summer Street, United States
USD 65K-100K Entry-level Full Time
Tasks
- Analyze eligibility and enrollment cases
- Assess program operations for technology platform
- Coordinate training and quality assurance activities
- Develop operational guidelines and procedures
- Evaluate policies procedures and system functionality
- Maintain compliance with health insurance laws and regulations
- Make coverage decision recommendations
- Review and process insurance appeals
- Support escalations complaints and case resolution
- Verify identity for enrollment
Perks/Benefits
- Deferred compensation
- Disability coverage
- Flexible spending account options
- Health insurance
- Life insurance
- Paid time off
- Public service loan forgiveness eligibility
- Retirement plan benefits
- Training and development opportunities
Skills/Tech-stack
Adobe Acrobat | Case management | Eligibility determination | Health insurance | Identity verification | Insurance regulations | Medicaid | Medicare | Smartsheet | Spreadsheets
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