Benefit Specialist (Parma, OH)

Benefit Specialist (Parma, OH) Parma, OH Job Details Full-time $25 an hour 11 hours ago Benefits AD&D insurance Paid holidays Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance 401(k) matching Referral program Qualifications Customer relationship building Insurance prior authorization Medical claims processing Phone communication Research Mid-level Data quality management

ICD-9 ICD-10 HCPCS

Analysis skills Task prioritization Data entry CRM system proficiency Medical terminology Communication skills Technical Proficiency Customer complaint resolution Client interaction via phone calls Full Job Description Benefit Specialist (Parma, OH) Summary

• The Benefit Specialist serves as a knowledgeable and resourceful benefits expert, empowering members to navigate their plans with confidence and ease.

Actively listen to inquiries, research, and resolve complex issues, and provide accurate and timely information while ensuring efficient data management. Utilize strong analytical and problem-solving skills to make using their benefits easier for members and to streamline communication with BeneSys, fostering positive relationships and improving overall member satisfaction. Essential Duties include but not limited to Member Support Provide exceptional member support via phone calls, walk-ins, and emails related to eligibility and claims. Assist members in navigating their healthcare benefits effectively by resolving inquiries and addressing concerns as the BeneSys primary point of contact. Provide accurate and timely information to members regarding their healthcare benefits through active listening and effective communication. Utilize strong analytical and problem-solving skills to research and resolve complex healthcare inquiries. Communicate with vendors on behalf of the member regarding prior authorizations, claims, and eligibility issues. Facilitate communication between members and the Retirement Services Department for all pension and retirement related questions. Data Entry, Claims Processing and Enrollment Process HRA, member disability claims, and/or SUB claims, as needed. Ensure accurate enrollment processing by collecting enrollment forms and self-payments, adding members and dependents to systems, and verifying documentation. Maintain member data integrity by updating records, processing month-end reports, and resolving discrepancies. Streamline benefit access by preparing enrollment packages, issuing ID cards, and notifying members of qualifying events. Possess a thorough understanding of plan rules outlined in the Summary Plan Description to answer member inquiries accurately and provide informed guidance regarding eligibility, claims, and benefits. Use month-end reports to determine eligibility, reinstatement, and termination of health care coverage. Ensure accurate and timely enrollment by processing monthly reports and distributing enrollment packages, COBRA information and self-payment bills efficiently. Required Experience and Qualifications Experience in a fast-paced call center environment with proven ability to handle high call volume and prioritize tasks effectively. Demonstrated success in resolving inquiries and complaints while exceeding customer satisfaction standards. Strong communication skills both written and verbal, with the ability to convey complex information clearly and concisely to diverse audiences. Empathy and active listening skills to understand member concerns and provide reassurance and emotional support. Proven ability to build rapport and establish trust with members, creating positive relationships. Strong communication and interpersonal skills Problem-solving and analytical abilities Empathy and emotional intelligence Excellent research and investigative skills Proficiency in healthcare terminology and insurance policies Passion for advocating for others and making a difference.

Preferred Qualifications and Experience Healthcare Knowledge:

Familiarity with basic medical terminology, types of health insurance plans, claim processes, and relevant healthcare regulations can significantly enhance your ability to assist members.

Technical Skills:

Proficiency in customer relationship management (CRM) software, data entry, and other relevant computer programs may be required.

Experience:

Previous experience in a customer service role, ideally within the healthcare industry. Experience handling complex claims issues or working with diverse populations can be an advantage. Ability to learn and efficiently work in numerous systems and applications. Demonstrated comprehension of claims operations specifically related to third party administrators along with advanced knowledge of coding and billing processes, including CPT-4, ICD-10, ICD-9, and HCPCS coding. Impact

• This position will have a profound impact on the lives of members. You'll be more than a Healthcare Benefit Specialist; you'll be a healthcare hero, resolving eligibility and claims issues and translating complex plan rules and benefits into clear, concise language, ultimately improving the lives of members during their most challenging moments. Work Environment
• Fast paced environment. Must be able to work independently as well as in a team. Must be able to multi-task and be detail oriented. Work Schedule
• Full time. Monday
• Friday, 8:00am
• 4:30pm.

Required in office (No at home days). Competitive Benefits and Compensation Package 12 paid holidays Paid Time Off (PTO) Pro-rated during first year of employment 15 days of PTO provided in the next calendar year! 3 days paid bereavement Up to 20 days paid jury leave Medical offered for employee and dependents (free to the employee for any tier) Dental and vision coverage offered for both employee and dependent Company-paid basic life, short-term disability, long-term disability, and AD&D insurance 401k with employer match Tuition reimbursement program Career development opportunities Referral bonus for all successful full-time referrals Annual opportunities for increases Pay

• Hourly rate is $25.

00. Actual rate dependent on location, skills, education, experience and other business factors. Our Culture BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential. Our culture focuses on three core values:

Collaboration:

working together across 31 locations to achieve the best for the company and our clients

Dedication:

striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues

Integrity:

doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.