Benefits Document Specialist
5 days ago
This full-time remote role focuses on creating and maintaining comprehensive benefits documents for claims, requiring close collaboration with internal teams to ensure compliance and accuracy.
Salary: $65,000 - $80,000 per year (dependent on experience).
Key Responsibilities- Create, update, and manage medical plan documents in line with client specifications and regulatory standards.
- Collaborate with internal teams to research, amend, and finalize documentation, ensuring timely submissions within Service Level Agreements.
- Track document progress accurately, proofread for quality, and adjust templates to reflect benefit design and regulatory changes.
Requirements:
- Bachelor's degree or equivalent experience in healthcare or TPA settings, with 2+ years in claims handling, quality control, or plan documentation.
- Familiarity with, and an understanding of the differences in, each type of Plan Document: SBC, SPD, BPD, SMM, and SMR.
- Proficiency in MS Word, Excel, Outlook, and PowerPoint, with strong computer navigation and learning skills.
- High attention to detail, problem-solving abilities, and the ability to work both independently and collaboratively with internal stakeholders.
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