Eligibility Specialist II Job at JSG (Johnson Service Group, Inc.), Irvine, CA

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  • JSG (Johnson Service Group, Inc.)
  • Irvine, CA

Job Description

Johnson Service Group (JSG) is seeking an Eligibility Specialist II. This position is fully remote. Bi-lingual Spanish

Work Schedule: Monday-Friday. 7:00am-4:00pm

Pay: $19.00 per hour

Job Description Summary

This role involves evaluating employee eligibility, processing benefits enrollments and terminations, and providing support to employees regarding their benefits options. The incumbent ensures compliance with company policies and legal regulations.

  • The Eligibility Specialists work with Excel and payroll records to develop 1095 reports.

Qualifications

  • High School diploma or equivalent and/or three (3) to five (5) years of accounting/business experience preferred.
  • Intermediate knowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation.
  • Proficient experience with Microsoft Office Suite. Excel.
  • Proficiency in HR and benefits management software preferred.
  • Strong knowledge of processing Electronic Data Interchange (EDI) file updates in a legacy system.
  • Experience providing customer service to a variety of client contacts via email and telephone.
  • Demonstrated ability to research and resolve technical issues and/or client problems as they arise with minimal direction.
  • Written and oral communication skills including modern business communications, formatting of professional letters, reports, and phone etiquette.
  • Demonstrated time management skills including, multi-tasking, working under pressure and deadlines, and working independently with minimal supervision or in a team environment.
  • Intermediate knowledge of health insurance operations and industry.
  • Fluent in Spanish, both verbal and written a plus.
  • Ability to work overtime based on department needs and compliance.
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800

Job Tags

Hourly pay, Weekly pay, Temporary work, Work at office, Remote work, Monday to Friday,

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