Enrollment and Capitation Analyst

Enrollment and Capitation Analyst – Oxnard, CA

HealthCare Support is actively seeking an Enrollment and Capitation Analyst to fill a job opening. This role’s location is in Oxnard, CA (future hybrid schedule after training).

Daily Responsibilities for Enrollment and Capitation Analyst:

• Monitors the daily operations of the department including all workflows, turnaround times, production levels, and staffing needs within budgetary and business planning guidelines.
• Compiles and analyzes monthly enrollment data to provide accurate enrollment schedules to various departments including Financial Analysis, Accounting, Provider Contracting, etc.
• Prepare, analyze and monitor eligibility reconciliations to ensure that all exceptions and rejected data have been researched and updated.
• Assist and ensure that programming changes are requested, justified, and implemented properly for the business unit’s eligibility manager software.
• Calculates and prepares client provider capitated payments monthly in line with contract timelines and requirements.
• Effectively and professionally communicate results, challenges and solutions through daily interaction and regular reports with management.
• Create and monitor standard reports to identify anomalies and/or trends impeding appropriate revenue capture. Take action to identify issues and pursue payors to ensure correct payments are being made.
• Responds timely and effectively to requests from other departments as they relate to the functions of the Eligibility department.
• Manages revenue reconciliation by obtaining and monitoring daily revenue activity.
• Manage and train staff of four.
• Creates, analyzes, ad hoc reports to ensure all revenue is accounted for, and paid according to contract. Partners with finance to understand variances, and fluctuations in revenue received.
• The shifts for the position will be five 8-hour shifts per week (future hybrid schedule after training)
• This is a 3-month contract-to-hire role
   

Required Qualifications for Enrollment and Capitation Analyst:

• Bachelor’s Degree in a related field, Business, Accounting, Finance, health information management, or related field required.
• 2+ years of experience in eligibility and capitation management.
• Ability to demonstrate strong proficiency using MS Suite and other systems (SQL a bonus).
• Knowledgeable of accounting/revenue functions.
• Strong analytical and problem-solving skills.
• Ability to follow verbal and written instruction
• Knowledge of eligibility/insurance verification and managed care administration

Benefits for Enrollment and Capitation Analyst:

• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay: $43 to $47 an hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to mitchell.reiter@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

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