Group Set-Up Specialist (50519)

• Resolve Group Setup and/or billing issues as they arise.
• S e r v e a s r e p r e s e n t a ti v e o f We s tern G r o we r s /P C MI d i s p la y i n g p r o f es s io n ali s m , kn o w l e d g e , c u s t om e r se r v i c e an d d i s cr e t ion in a ll i n teracti on s with o t h e r m e m b e r s o f th e We s tern Gr o we r s /P C MI co m m un ity an d t he ir c u s t o me r s .
• Co n s i s t e n tly m e e t p r o c e ss i n g c y cle t i m e sta nd ar d s an d p r odu ction du e d a t e s a s s e t f orth b y ma n age me n t .

• Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
• Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
• Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
• Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).
• All other duties as assigned.

The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to communicate with others.

The employee frequently is required to move around the office.

The employee is often required to use tools, objects, and controls.

This noise level in the work environment is usually moderate.

• High school diploma or equivalent, and two (2) to four (4) years working with healthcare enrollment and billing, preferred.
• Kno w l e d g e o f H e al t h In s u ra n c e P ort ab ility an d Acco un t ab ili t y Act ( H IPAA ) , Co n s olid a ted O m n i bu s B ud g e t R e co n cilia t ion Act ( CO B RA ) , C a l - C O BR A , E m p lo y e e R e ti r e m e n t I n come S e c u rity A c t (ERI S A ) , an d Se c ti o n 125/1 0 5 l e g i s la t ion, highly desired.
• T h or ou gh k n o w l e d ge o f g e n e r ally a cc e p ted H e al t h C are E lig i b ility g u i d e line s , Bi l l i n g p r o c edu r e s a n d P lan s tr u ct u r e .
• A d v a n c e d c o m pu ter s kil l s in Micro s o f t O f f ice S u i t e a n d th e ab ility t o d eve lop a stro n g p r o f ici e n cy w or k i n g with a p r op ri e t a ry H e al t h Care sy s t e m .
• S e l f -m ot i v a t e d , o rga n ized a n d e f f e ct i v e in a fa s t - p ace d , d e a d line -oriented e nv iro n me n t.
• E x p e ri e n ce p r ov i d i n g Cu s t o m e r S e r v i c e t o a v ari e ty o f cl i e n t co n t a cts v ia e m ail, on line an d t e l e ph o n e .
• D em o n s tr a ted ab ility to i d e n tify, r ese a r ch an d r es ol v e com p l e x tech n ical p r ob l e m s w ith m i n i m al d ir e ctio n .
• Proven project management abilities –including time and task management, delegating assignments, and working collaboratively to meet deadlinesInternet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
• A functioning smoke detector, fire extinguisher, and first aid kit on site.