ECS Coordinator III
External
Okgov · Oklahoma CountyPart-timeOn-site1w ago
ComplianceLeadership
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Benefits
$24.711538 / hourlyWhy You'll Love Working HereLet's Talk BenefitsWe know your great work deserves great support. Here's a snapshot of what we offer for all eligible employees.Generous state-paid benefit allowance to offset insurance premiums.A wide selection of insurance plans with no pre-existing condition exclusions.Flexible Spending Accounts for health care and dependent care.Retirement Savings Plan with employer contributions.11 paid holidays annually.15 days of vacation and 15 days of sick leave in the first year.Longevity Bonus recognizing years of public service.Public Service Loan Forgiveness eligibility and tuition reimbursement.Wellness benefits, including an on-site gym and fitness center discounts.Job DescriptionLocation: 4345 N Lincoln Blvd, Oklahoma City, OK 73105Salary: $24.711538 / hourlyWork Schedule: Monday - FridayPrimary Hours: 8:00 a.m. - 5:00 p.m.Agency/Division InformationPosition PurposePrincip a l Activities May Include :Serves as team leader in planning and coordinating daily member services activities, acting on behalf of or in the absence of managers.Acts as a supervisor and assists in maintaining workflow during staff absences.Provides comprehensive training to staff, contractors, agency partners, and stakeholders on SoonerCare policies and procedures.Develops and implements training materials and represents OHCA in seminars, training forums, and conferences.Answers complex incoming telephone and written inquiries from members, vendors, and other stakeholders, requiring individual research and interpretation of federal and agency rules.Independently analyzes, investigates, and resolves complex inquiries and complaints from members in a timely manner .Assists with the development, interpretation, and communication of written policies and materials related to member inquiries.Keeps abreast of OHCA/ SoonerCare policies and provides accurate interpretation to providers and members .Identifies potential operational and contractual issues, communicates, and resolves issues with members and participates in the formulation of procedures to resolve conflicts.Coordinates with appropriate departments to resolve system problems and develop timely solutions.Determines eligibility, verifies, and enters data, and resolves issues related to enrollment and premium payments.Processes enrollment, plan changes, and corrections to member enrollment data systems.Facilitates claims adjudication, capitation, and reconciliation, and processes electronic claims inquiries.Participates in the OHCA member call center, answering a wide variety of questions and resolving problems related to contract requirements, licensing, and electronic funds transfer.Provides member training and keeps updated on OHCA/ SoonerCare policies to provide accurate information to stakeholders .Assists division leadership with special projects and the development of training materials.Monitors incoming cHealth insuranceVision insurancePaid time offFlexible schedulePerformance bonus
Additional Information
Job Posting Title ECS Coordinator III Agency 807 HEALTH CARE AUTHORITY Supervisory Organization Eligibility & Coverage Service Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular
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