Ensure that all EZCap system eligibility data is current and accurate. Research and maintain systems and changes to existing eligibility in a timely manner. Essential Duties and Responsibilities include the following: Perform research and analysis of membership. Enter new member eligibility records into EZ Cap in accordance with established guidelines. Use activity analysis reports from the health plans to make changes to existing enrollees; i.e. benefit option changes, terminations, and address changes. Manually audit existing eligibility in EZ Cap against current eligibility. Investigate retroactive cancellations for services rendered by the member after the policy termination date for eligibility guarantee. Research problem eligibility on authorizations and/or claims forms by calling the health plans or utilizing any other source to resolve the problem. Assist personnel from other departments with eligibility issues. Any other duties as assigned by Lead or Department Head. Monitor queue, website, and email for inquiries. Respond timely to membership inquiries. Perform other duties assigned by management. Organizational Responsibilities: Proactively support and practice company mission, vision, and values. Follow Employee Handbook guidelines and company policies and procedures. Follow established departmental dress code. Appropriately and accurately maintain timekeeping records. Adhere to attendance policy and time-off requests. Follow safety policies and procedures. Be flexible, adaptable, courteous, and promote professionalism. Communicate verbally and in writing through appropriate channels. Maintain confidentiality at all times in compliance with company policy and HIPAA requirements. Complete all required annual Compliance training and sign attestation form for each module. Compensation: The pay range for this position at commencement of employment is expected to be between $23/hour - $25/hour ; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, the employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. Company Overview: As one of the fastest-growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare&Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming, and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel because we believe that your success is our success. Full-Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options. Health and Wellness: Employer-paid comprehensive medical, pharmacy, and dental for employees. Vision insurance. Zero co-payments for employed physician office visits. Flexible Spending Account (FSA). Employer-Paid Life Insurance. Employee Assistance Program (EAP). Behavioral Health Services. Savings and Retirement: 401k Retirement Savings Plan. Income Protection Insurance. Other Benefits: Vacation Time. Company celebrations. Employee Referral Bonus. Tuition Reimbursement. License Renewal CEU Cost Reimbursement Program. Business-casual working environment. Sick days. Paid holidays. Mileage. Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance. Requirements: Education and/or Experience: High School Graduation or equivalency. Courses in bookkeeping, accounting, insurance billing, and data processing desirable. Minimum one year experience in a medical group/healthcare setting. Good verbal and written communication skills. Computer literate with keyboard skills for data entry. J-18808-Ljbffr