Eligibility & Revenue Operations Representative

Role Overview

The Eligibility and Revenue Operations Representative supports Fallon Health’s mission by providing and maintaining timely and accurate enrollment and billing information. They collaborate with co-workers and other departments to ensure quality service to internal and external customers.

What You Will Do

The representative will enter and maintain premium rates, reconcile membership and billing reports, and communicate professionally to resolve discrepancies. They will also provide eligibility, enrollment, and premium support to Sales Finance, Product owners, and Regulatory Affairs.

Why It Might Be a Fit

The ideal candidate will have strong verbal and written communication skills, organizational skills, and computer skills. They will be able to analyze situations and make independent decisions, and have a strong focus on quality and performance results.

Requirements

• Bachelor’s Degree preferred
• 4 plus years’ experience in an office environment, preferably in health care and/or managed care system
• Strong analytical and problem-solving skills
• Aptitude towards mathematical fundamentals
• Flexibility in a fast-paced environment
• Excellent Organizational skills/time management
• Strong focus on quality & performance results
• Systems knowledge including but not limited to MS Excel, MS Word, MS Access
• Ability to effectively communicate, both written and verbal
• Builds Relationships/contributes to team performance
• Adhere to all DOI, State, and Federal guidelines

Benefits

• Pay $25.00 per hour
• Equal employment opportunities
• Prohibition of discrimination and harassment