What are the responsibilities and job description for the Benefit Specialist (Columbia, MD) position at BeneSys, Inc.?
Summary of Position – The Benefit Specialist serve 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
Member Support
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 - 5:00pm. Required in office (No at-home days).
Competitive Benefits And Compensation Package
The pay range is $ 25.00 - $27.00 per hour and is dependent on location, experience, skills, education 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:
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.
Essential Duties
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.
- 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.
- 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.
- A passion for advocating for others and making a difference.
- Regular and predictable attendance is an essential function of this job.
- 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, is often preferred. 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.
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 - 5:00pm. Required in office (No at-home days).
Competitive Benefits And Compensation Package
- 13 paid holidays
- Paid Time Off (PTO)
- Pro-rated during first year of employment
- 15 days of PTO provided in the next calendar year!
- Medical, dental and vision insurance, with option for dependent coverage
- Employer-paid basic life
- Long-term disability and short-term disability insurance
- 401(k) with employer match
- Tuition reimbursement
The pay range is $ 25.00 - $27.00 per hour and is dependent on location, experience, skills, education 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
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.
Salary : $25 - $27
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