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Fallon Health · 2 hours ago

Eligibility & Revenue Operations Representative

Worcester, MA

Full-time

Onsite

Mid Level

4+ years exp

Fallon Health is seeking an Eligibility & Revenue Operations Representative. The role involves ensuring accurate enrollment and billing records while maintaining primary care physician assignments in the core system.

FitnessHealth CareMedical

Hiring Manager

Lisa Saucier Rosenkrantz

Responsibilities

Works proactively to ensure the enrollment and billing records are kept current and accurate

Ensures goals and turnaround standards are being met or exceeded based on corporate and departmental metrics

Responsible for maintaining up to date primary care physician assignments in core system accurately and timely

This is to be completed through review of data integrity reports, and working closely with Provider Partners, Provider Relations, Contracting and Account and Provider Configuration

Qualification

Health care experienceAnalytical skillsMS ExcelMS WordMS AccessMathematical fundamentalsTeam performanceProblem-solving skillsOrganizational skillsTime managementCommunication skills