Evansville, Indiana, United States · On-site
$45k–$55k/yr
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and Institutional Equivalent Special Needs Plan (I/IE-SNP) serves as the primary point of contact for membership operations. This …
Skills: Medicare Advantage Benefits, CMS Regulations, Member Services, Grievances and Appeals, CRM Systems
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The analyst serves as the primary contact for membership operations, addressing inquiries regarding benefits, claims, and authorizations for a vulnerable population. They coordinate with interdisciplinary care teams and ensure compliance with CMS regulations and the plan's Model of Care.
Requires a high school diploma or GED, with a degree in Healthcare Administration or a related field preferred. Candidates must have at least 2 years of experience in healthcare member services or health plan operations.
Abilis Health Plan
The Member Services Analyst for the Institutional and Institutional Equivalent Special Needs Plan (I/IE-SNP) serves as the primary point of contact for membership operations. This role is responsible for delivering exceptional, person centered service to a uniquely vulnerable population by addressing inquiries related to benefits, authorizations, enrollments, claims, grievances, and appeals in full compliance with CMS regulations and the plan's Model of Care (MOC).
This position collaborates closely with Interdisciplinary Care Teams (ICTs), facility staff, authorized representatives, family members, and internal teams to ensure members concerns are resolved timely.
Abilis Health Plan covers everything that Original Medicare covers plus provides supplemental benefits designed for the unique needs of our members. Abilis Health offers a unique approach involving comprehensive, coordinated care that is designed specifically for members that reside in a nursing facility. Abilis Health specializes in providing complex care for urgent acute problems as well as routine and preventive care, following patients during the recovery phase after an illness or hospitalization.
Offices: 805 N Whittington Parkway, Louisville, Kentucky 40222, US
Abilis Health Plan covers everything that Original Medicare covers plus provides supplemental benefits designed for the unique needs of our members. Abilis Health offers a unique approach involving comprehensive, coordinated care that is designed specifically for members that reside in a nursing facility. Abilis Health specializes in providing complex care for urgent acute problems as well as routine and preventive care, following patients during the recovery phase after an illness or hospitalization.
Offices: 805 N Whittington Parkway, Louisville, Kentucky 40222, US
