Member Services Processing Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $21 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Process enrollment applications, documentation, certifications, transfers, appeals, and designated representative appointments and updates • Review member-submitted materials for completeness, accuracy, and eligibility • Analyze application documentation to determine whether enrollment requirements are met • Perform data entry and record updates in digital mail center systems, entry portals, and intelligent document processing platforms • Maintain accurate case notes, documentation, and processing records for compliance and audit readiness • Communicate with members, providers, and internal stakeholders about documentation requirements, missing information, and status updates • Escalate complex or ambiguous cases to the Member Services Processing Supervisor • Adhere to HIPAA and program privacy requirements when handling PII/PHI • Support quality assurance by identifying errors, trends, and improvement opportunities • Participate in cross-training and process updates across enrollment, record updates, appeals routing, and member correspondence • Contribute insights on workflow challenges, system issues, and enhancements

🎯 Requirements

• High School Diploma or equivalent • 1–3 years of experience in processing, administrative support, data entry, customer service, or a related operational role • Strong written and verbal communication skills • Ability to follow detailed procedures, meet deadlines, and adapt to changing priorities • Strong attention to detail and ability to analyze documentation against program requirements • Skills in collaboration, customer problem solving, customer service, Microsoft Applications, and multitasking • Must be able to obtain and maintain a Public Trust • Ability to handle HIPAA, PII, and PHI requirements • Preferred: background supporting federal health programs or healthcare operations • Preferred: experience with intelligent document processing tools, member service portals, ServiceNow, or CXone • US Citizenship is not required

🏖️ Benefits

• Full-flex work week • 401(k) with company match • Comprehensive health and wellness packages • Internal mobility support • Professional growth opportunities including paid education and certifications • Cutting-edge technology learning opportunities • Paid vacation and holidays • Medical, dental, and vision plan options • Health Savings Account options • Paid sick and personal leave • Paid parental, military, bereavement, and jury duty leave • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance