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Health Resource and Member Billing Specialist - 21.63

Health Resource and Member Billing Specialist - 21.63

Access To Healthcare NetworkReno, NV, USA
Hace 27 días
Tipo de contrato
  • A tiempo completo
  • Quick Apply
Descripción del trabajo

TITLE : Health Resource and Member Billing Specialist

REPORTS TO : Eligibility & Enrollment Manager

SUPERVISES : N / A

BASED AT : Access to Healthcare Network - Reno Office

STATUS : Non-Exempt

Position Summary

The Health Resource Specialist / Member Billing Specialist plays a dual role in supporting Access to Healthcare Network (AHN) operations. This position is responsible for screening callers for eligibility across various Nevada health care programs-including AHN, Medicaid, Medicare, and Nevada Check-Up-and assisting members with billing inquiries, payment processing, and account reconciliation. The role also serves as a backup for front desk staff when needed.

Minimum Requirements

  • Bilingual (English / Spanish) - Required
  • Clear understanding of AHN services, systems, and administrative duties
  • Excellent organizational, customer service, and communication skills (oral and written)
  • Compliance with HIPAA regulations
  • Ability to lift and carry up to 30 pounds consistently
  • Successful completion of a State of Nevada background check
  • Ability to maintain professionalism and compassion in client and staff interactions

Key Responsibilities

  • Screen callers for eligibility across AHN, Nevada Check-Up, Medicare, Medicaid, and private insurance plans
  • Respond to inquiries, explain program requirements, and take appropriate action on calls and referrals
  • Evaluate caller needs with patience and professionalism
  • Provide information on AHN programs and external resources
  • Accurately input caller data into databases using critical thinking and coordinated strategies
  • Working knowledge of RingCentral phone system
  • Maintain and update Access Medical and Healthy Living Plus membership accounts
  • Research and resolve account discrepancies in a timely manner
  • Answer billing-related calls, process payments, and facilitate immediate resolutions
  • Conduct retention calls to AHN members
  • Process daily receipts and prepare accounting entries for member payments
  • Collaborate effectively with members and internal departments
  • Support special projects as assigned by the Member Billing Manager
  • Serve as backup for front desk operations
  • Perform other duties as assigned

    • Education & Experience

  • Education : High School Diploma required; AA Degree preferred
  • Experience :

    • Minimum 2 years of customer service experience

  • Minimum 2 years of computer experience (Microsoft OS, Word, Excel, internet, databases, reporting)
  • Knowledge of public health programs preferred
  • Experience with organizational communication and planning
  • Experience with Accounting Seed and Salesforce preferred

    • Work Environment & Physical Requirements

  • Standard work hours : 8 : 00 AM - 5 : 00 PM
  • Ability to stand for 3-6 hours / day and sit at a computer for 4-6 hours / day
  • Frequent hand / wrist movement and repetition
  • Ability to lift and carry up to 30 pounds consistently
  • Flexibility in scheduling based on departmental needs
  • Moderate noise level in a climate-controlled office
  • Comfortable working in a fast-paced, routine environment
  • Strong team collaboration required

    • Additional Information

    This job description outlines the general nature and responsibilities of the position but is not exhaustive. Duties may be modified to meet the evolving needs of AHN. This document does not constitute a contract of employment.

    Equal Opportunity Statement : Access to Healthcare Network is committed to fostering diversity and inclusion. We encourage all qualified candidates to apply

    Required to pass a background check through the State of Nevada

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