Medical Benefits Specialist
Found in: Appcast US C2 - 2 weeks ago
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
- 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.
Job Requirements
- 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.
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.
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