Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

BRC Benefit Specialist

Expired Job

USI Charlotte , NC 28201

Posted 2 months ago

General Description: The Benefit Specialist's primary job is to help clients and their employees with benefit or claim questions and to log all calls for tracking and reporting purposes.

Major Responsibilities:

  • Act as primary resource for clients and their employees with benefit or claim questions.

  • Investigate and solve claim problems.

  • Log all calls into Call Center database for tracking and reporting purposes (100% call tracking).

  • Take requests from Account Managers for supplies and forward to the appropriate account administrator.

  • Act as a client resource for administrative questions regarding enrollment and eligibility and special contract provisions.

  • Provide assistance with coordination of benefits.

  • Drafts appeal letters.

  • Performs claim audits.

  • Track trends to identify consistent claim and/or benefit question patterns from clients.

  • Report trends to carrier and/or the account manager.

  • Run reports for assigned producer team when requested.

  • Maintain open call volume.

Training and Development:

  • On-site ongoing training provided for all above duties.

  • Off-site training as required for continuing education requirements.

Core Job Objectives:

  • Establish effective working relationships with Internal Partners, Clients and Carriers

  • Ensure client satisfaction and to support key initiatives.

  • Work with Internal Partners and Carriers to ensure accurate and timely responses to all client issues.

  • Work with all partners in a manner that fosters mutual respect and teamwork.

  • Respond to requests from all partners by stated timeframes.

  • Consistently be on time for work and all scheduled meetings and training classes.

  • Respond to BRC emails and voicemails, when assigned, within 24 business hours.

Key Skills Required:

  • Remains informed regarding industry information and new product information.

  • Must currently hold life and disability insurance license (or must obtain it within 12 months following date of employment) and retain license by meeting the continuing education requirements.

  • High level of computer literacy including working knowledge of Windows 2003, Excel, Word and call tracking systems.

  • Bilingual preferred.

  • Strong attention to detail and ability to self-check work.

  • Excellent time management skills, keeps manager informed of problems.

  • Organized and able to prioritize work load.

  • Enthusiastic attitude, cooperative team player, adaptable to new or changing circumstances, professional demeanor, sensitive to client needs, self-motivated, creative and innovative.

  • Excellent problem solving skills.

  • Strong verbal and written communication skills.

  • Prior customer service experience is preferred.

Job ID:
17755


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Healthcare Benefit Coordinator

Vitalhire

Posted 2 weeks ago

VIEW JOBS 10/28/2018 12:00:00 AM 2019-01-26T00:00 <p>Infusion Benefit Coordinator Near Uptown<br>M-F 8-5<br><br>The Patient Benefit Coordinator is responsible for the verification of patient insurance benefit in relations to infusion services. Must have knowledge of insurance companies payer policies/coverage as well as payment/denial/appeal processes and resolutions. Must have 3 years of benefit experience. Infusion benefit experience a plus.<br><br>Duties Include:<br><br>1. Manages insurance benefits, verification, prior authorization (PA) and service appeals and serves as the primacy contact for the insurance companies and providers to obtain necessary documentations for prior authorization (PA) processing.<br><br>2. Communicates with patients and providers insurance benefits including any patient's financial responsibilities for the services received.<br><br>3. Responsible for managing, communicating and if needed updating /documenting insurance benefits updates in a timely manner for patients receiving home infusion services.<br><br>4. Responsible for staying abreast with government and manage care regulations to ensure accuracy with claims submission, billing and collections<br><br>Pay Rate: up to $17.00</p><br><p><strong>Requirements</strong></p><ul> <li>3 years of benefit experience.</li> <li>Must have worked in a medical practice environment </li> <li>Proficiency in MS Office and patient management software</li> <li>Excellent written and verbal communication skills</li> <li>Social perceptiveness and service oriented</li> </ul><ul> <li>Patience and discretion</li> <li>High school diploma</li> </ul> Vitalhire Charlotte NC

BRC Benefit Specialist

Expired Job

USI