Benefits Coordinator

7 days ago

Long Beach, California, United States Advanced Medical Management Full time $60,000 - $90,000 per year

POSITION SUMMARY

The Benefits Coordinator is supporting all aspects of benefit configuration from programming, reviewing, and auditing benefit configuration to ensuring that all benefits are programmed accurately for Authorizations and Claims.

RESPONSIBILITIES-DUTIES

  • Knowledgeable of Health Plan web sites to obtain benefits information for members.
  • Able to contact Health Plans by phone to verify members benefits.
  • Understand to check Eligibility at the same time while verifying benefits.
  • Communicate and document findings internally with Benefits team.
  • Ensure all systems are responsible, reliable, responsive and support to the needs of all IPAs of AMM
  • Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives.
  • Create and Maintain Option Masters for each benefit option provided by the Health Plan by LOB. This module houses the financial responsibility table number, Out of Pocket Maximums and Deductibles
  • Develops and implements data integrity initiatives for benefits configuration and any other areas that support the effective operation of internal systems.
  • Coordinates, documents, and development projects - Must be highly organized.
  • Assists and support different department inquiry with emails, answering phone calls and call health plans to verified information.
  • Provides daily oversight of benefits.
  • Input and update benefits for all Health plans and all IPAs' lines of business.
  • Responsible for adding options in EzCap for Eligibility Department daily.
  • Program, review and update benefits in EzCap on a daily basis
  • Assist in downloading Benefits Online
  • Assist and recommend in the development of process improvements including policies and procedures
  • Assist with training and supporting AMM team.
  • Able to respond to emails in a timely manner and provide support
  • Coordinating with various departments to resolve benefits inquiries or any system related issues
  • Good judgments to plan and accomplish goals
  • Performs variety of different tasks
  • Administers and ensures timely completion of all projects
  • Other duties may be assigned as needed to assist

EDUCATION & EXPERIENCE REQUIREMENTS

  • Associates Degree preferred, or two years of relative experience
  • Experience with benefits configuration and interpretation
  • Individual should also demonstrate the ability to work with all levels within AMM
  • Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of benefits
  • Knowledge of software applications such as EZCAP is a plus
  • Must be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access)
  • Possess strong time management skills, including the ability to prioritize deadlines on multiple projects
  • Produce accurate and high-quality work on time and consistently
  • Strong analytical skills and problem solving skills are necessary
  • Ability to work independently and within a team

AMM BENEFITS

When you join AMM, you're not just getting a job—you're getting a benefits package that puts YOU first:

  • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
  • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
  • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
  • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
  • Career Development: Tuition reimbursement to support your education and growth.
  • Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun

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