Benefit Plan Build Specialist
Location
Arizona + 12 moreAll locations: Arizona | Florida | Illinois | Kansas | Kentucky | New Jersey | New York | Ohio | Oklahoma | Michigan | South Carolina | Tennessee | Texas
Posted
8 hours ago
Salary
$64K - $77K / year
Seniority
Senior
Job Description
Benefit Plan Build Specialist
Leading Edge Administrators
• Construct and implement new benefits plan in the benefits administration system • Maintain a comprehensive understanding of the plans under their scope of responsibility • Work with the Implementation Team to help onboard new clients • Design and implement system configuration in accordance to benefit plan description • Build new groups and adjust systems per plan amendments in benefits system • Research plan provisions contained in benefit plan documents • Convert plan provisions to claim system adjudication functions • Coordinate the development of solutions for system-related issues • Develop tools and best practices necessary to improve installations • Provide timely documentation to users to help them reference and implement system and/or plan changes
Job Requirements
- High school diploma or equivalent; Associates or Bachelors degree preferred
- 3+ years of benefit plan build experience and/or recent Claims Examiner/Processor
- Knowledge of benefit application and plan building for health plans required
- Knowledge and experience in medical terminology including CPT, HCPCS, ICD 9/10 required
- Javelina experience preferred
- Solid working knowledge of standard computer applications including MS Word, Excel, Outlook and PowerPoint
- Expert keyboard and navigation skills and learning new programs
- Communicate clearly and professionally with internal and external customers
- Work effectively as part of a team to achieve established outcomes
- Demonstrate accuracy and thoroughness; monitor work to ensure quality.
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
- Professional development
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