- Assist and educate participants as it relates to EIT's suite of benefits in accordance with p lan provisions, deadlines, and documentation via phone and in person.
- Collaborate with team members and all internal departments to resolve member issues.
- Interact with external vendors, including IBEW Local 134, CorVel, BCBSIL, CVS Caremark, VSP and Wage Works.
- Research and resolve moderate to complex member inquiries relating to benefit eligibility, claims processing, documentation, and payment information.
- Review applications for benefits for accuracy and completeness and determine if eligibility requirements have been met.
- Process payments for Disability and Supplemental Unemployment benefits.
- Identify participants who have lost coverage, provide COBRA notices and process COBRA election forms and payments.
- Verify, update, and maintain member and dependent demographic information.
- 2+ years of related benefits or claims processing experience.
- Exceptional interpersonal, customer service, and communication skills.
- Must be detail-oriented, and ability to multi-task, & have excellent time management skills.
- Understanding of fully insured and self-funded health plans.
- Understanding of medical claims processing and CPT and ICD10 Codes is preferred.
- Knowledge of the Affordable Care Act (ACA), COBRA, HIPAA compliance, & ERISA.
- Some familiarity w/Taft-Hartley Plans & multi-employer benefit administration is a plus.
- Microsoft Office Proficiency.
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Medical Benefits Specialist - Alsip, United States - Managed Care Staffers
Description
2 Experienced F/T Medical Benefits Specialists Needed to Work in Alsip, IL
Our client, a growing Union Health & Welfare Fund located in the South Suburbs of Alsip, Illinois is currently looking to hire 2 experienced full-time Medical Benefits Specialists.
You must have at least 2 years of recent and related work experience in one of the following fields union benefits, medical benefits, health insurance, medical claims processing or eligibility.
These are both fully onsite full-time positions working Monday-Friday from (8:30am to 4:30pm) for a total of 35 hours per week.
Job Responsibilities
Job Requirements
If you or anyone you know is interested, qualified, and currently seeking employment please send an updated resume to us for immediate review and consideration.
