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About the Role
Elderplan and HomeFirst are expanding services to meet patient and member needs in affordable healthcare. As an A&G Specialist, you will play a crucial role in ensuring grievances and appeals are processed efficiently and in compliance with regulations, contributing to the quality of life for our health plan members.
Responsibilities
- Process department correspondence, both incoming and outgoing.
- Provide back-up support to A&G Coordinators and Director.
- Ensure grievances and appeals are processed within established regulatory time frames and in accordance with Agency and department standards.
- Open, date-stamp, and log all incoming mail.
- Prioritize and distribute correspondence to appropriate individuals.
- Prepare and maintain departmental files.
- Perform additional administrative duties as assigned.
Requirements
- High school diploma or equivalent.
- 1 year of prior clerical or related experience required, preferably in a Managed Care or Health Care related organization.
- Proficiency in MS Word and Excel.
Skills
- MS Word
- MS Excel
- Clerical skills
- Administrative skills
Experience Level
- 1 year of prior clerical or related experience
Education Level
- High school diploma or equivalent
Salary/Compensations
- USD $41,000.00/Yr. - USD $44,000.00/Yr.
Benefits
- Tuition Reimbursement for all full and part-time staff
- Generous paid time off, including your birthday!
- Affordable and comprehensive medical, dental and vision coverage for employee and family members
- Two retirement plans: 403(b) AND Employer Paid Pension
- Flexible spending
- Qualified employer under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
About the Company
- MJHS companies are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
- We foster collaboration, celebrate achievements, and promote fairness for all.
- Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.