Healthcare Benefits Specialist

7 days ago


Irvine, California, United States Western Growers Family of Companies Full time
Overview:
As a member of the Western Growers Family of Companies, you will have the opportunity to work with a reputable organization that offers affordable health benefit solutions to support vital industries. Our team provides comprehensive health benefits administration services, including health management and wellness solutions, and pharmacy benefit management.

We prioritize employee well-being, recognizing that work-life balance is essential. We offer flexible work arrangements, competitive compensation packages, and premier investment support. Our employees enjoy enriching personal development opportunities and a rich benefits package, including profit-sharing.

Job Description:
The Bilingual Child Care Providers United (CCPU) Eligibility Specialist II will perform enrollment and billing functions necessary to Child Care Providers United accounts on the CCPU Portal and Healthcare Common Procedure Coding System (HCPS). The incumbent will provide customer service support to providers by instructing them on correct eligibility management and explaining billing reimbursement issues. In addition, this person will research and resolve eligibility and billing reimbursement discrepancies or client inquiries.

Key Responsibilities:
Maintaining eligibility and benefit application for CCPU accounts, reviewing and processing enrollment transactions, producing electronic spreadsheets and reports, and researching and correcting benefit application issues. The incumbent will also provide timely and effective customer service to clients, interface effectively with internal departments and external vendors, and serve as a representative of CCPU displaying professionalism, knowledge, customer service, and discretion in all interactions.

Additional Responsibilities:
Utilizing all capabilities to satisfy one mission, maintaining internet speed and router, maintaining a HIPAA-compliant workstation, and maintaining and servicing safety equipment.

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