Plan Design Specialist jobs in Illinois

Overview

Now is the time to join us! 

Virgin Pulse and HealthComp are now Personify Health. The industry’s first personalized health platform company combines health, wellbeing, and navigation solutions to deliver powerful outcomes to businesses and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

As a Benefit Plan Builder you will be responsible for the build and maintenance of plan benefits for new and existing groups upon implementation, renewal, and changes. If you have experience in health benefits or claims management with excellent organizational skills and a strong attention to detail, this is the perfect opportunity to grow your career with a progressive leader in healthcare! 

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Support Implementation and Account Management teams by consolidating information during new client implementation and/or renewal to ensure the accuracy of benefits
• Create benefit SMART sheets
• Translate benefits from ICD10, HCPCS, CPT, CDT and other insurance billing codes
• Audit plan build work of other teammates  
• Build out groups and upload benefit summary to website for members and faxback system for providers
• Ensure compliance with applicable government regulations
• Process Group terminations
• Correspond with account managers, account coordinators, claims department, and other technical areas
• Troubleshoot claims errors and refer escalated issues to team lead

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• At least 1 year of experience in healthcare field, claims or benefits preferred
• Experience with Self-funded health plans strongly preferred
• Working knowledge of medical billing and coding
• Highly organized, detailed-oriented, and deadline-driven
• Excellent communications skills to effectively interact with various teams

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

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