What are the responsibilities and job description for the Benefit Eligibility Coordinator position at HealthComp?
Benefit Eligibility Coordinator
Department: Eligibility & Administration
Employment Type: Full Time
Location: Fresno, CA
Compensation: $21.00 - $22.00 / hour
Description
Healthcomp is hiring a Benefit Eligibility Coordinator who works closely with key external and internal contacts to ensure that clients’ eligibility and enrollment is maintained accurately and in accordance with their plan document. By building good rapport with clients, brokers, and vendors and optimizing the use of internal resources. As the Benefit Eligibility Coordinator, you will deliver a high level of service for our clients and members.
Key Responsibilities
- Externally, the Benefit Eligibility Coordinator is the client/broker’s main point of contact for day-to-day processing of Eligibility requests, including new hire enrollments, plan/benefit changes, enrollment of dependents, and member terminations.
- Communication with Medical, Dental, Vision, and PBM vendors is crucial when resolving access to care issues.
- Responding to discrepancies identified by the vendors to ensure our eligibility data matches after each file transfer.
- Internally, the Benefit Eligibility Coordinator researches and responds to inquiries from the Account Management team.
- Working with the TechOps and Data Engineering team on file-related eligibility items and is in constant communication with the Member Services team to ensure eligibility-related issues are resolved timely.
Skills, Knowledge & Expertise
- High School diploma or general education degree (GED)
- 1 year of customer service experience
- Must be computer literate and knowledgeable in Windows and Microsoft Office environment.
- Microsoft Excel and knowledge of insurance database system is a plus (Knowledge of working Eldorado systems
- Strong attention to detail and organizational skills
- Experienced running reports
- Strong sense of communication skills both written and verbal
- Must be collaborative
- Must demonstrate strong problem-solving skills, which includes having research skills and being resourceful
Benefits
- Competitive pay with opportunity for career advancement
- Competitive Paid time off policy to support a healthy work-life environment
- Full offering of health and wellness benefits for you and your family
- Company paid life insurance and disability plan
- 401K plan with company matching
- Employee discounts and wellness program
ABOUT HEALTHCOMP: Operating since 1994, we’re a third-party administrator (TPA) committed to providing employers with all the services needed to administer their benefits efficiently resulting in better health outcomes for their employees and higher cost savings for them. We partner with a variety of health providers and technology vendors to ensure a robust offering of medical, dental, vision, COBRA, HIPAA, flexible spending accounts and reference-based pricing, so members can make the most out of their benefits. It’s comprehensive care without the confusion.
Salary : $21 - $22
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