Eligibility Rep I-Ops

Health Net, Inc. (NYSE: HNT) is among the nation’s largest publicly traded managed health care companies.  Health Net’s mission is to help people be healthy, secure and comfortable.  The company’s POS, HMO, insured PPO, behavioral health and government contracts subsidiaries provide health benefits to more than 7 million individuals.  For more information on Health Net, Inc., please visit the company’s Web site at www.healthnet.com JOB SUMMARY:Processes and maintains eligibility information for routine individual and/or employer groups under direct supervision.ESSENTIAL DUTIES AND RESPONSIBILITIES: Maintains accurate eligibility records for assigned line of business. Enters system eligibility data on a daily basis, including new enrollees, changes, and cancellations. Conducts periodic audits of group eligibility data. Reconciles group eligibility report to monthly statements. Responds to all written and telephone eligibility inquires from individuals or assigned employer groups. Researches information on subscribers to resolve problems and disputes. Maintains quality and production standards as outlined by the department. Assists with special projects. REQUIREMENTS:Education: High School Diploma or equivalent required Certification/License: Experience:One year general work experience required Knowledge, Skills & Abilities: Ability to operate PC-based software programs required Excellent written and oral communication skills required Ability to type 35 wpm Demonstrated problem solving skills  OR Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.    Health Net, Inc. supports a drug-free work environment and requires pre-employment background and drug screening.   Health Net and its subsidiaries are an Equal opportunity/Affirmative Action Employer M/F/V/D.