What are the responsibilities and job description for the Eligibility Coordinator (Columbia, MD) position at BeneSys, Inc.?
Eligibility Coordinator (Columbia, MD)
Summary – The Eligibility Coordinator is an entry level position and will provide customer service, determine, maintain and terminate member and/or dependent eligibility for health care benefits. This is a collective bargaining union position.
Essential Duties and Responsibilities included but not limited to
- Know the plan rules for eligibility as outlined in the Summary Plan Description (SPD) for each fund.
- Collect completed enrollment forms and add all members and their eligible dependents to the BeneSys computer system and any/all outside carrier systems; send requests for additional documentation on incomplete enrollment forms and/or denial with rights to appeal.
- Audit vendor reports and invoices on a monthly or weekly basis.
- Determine qualifying events and notify member/dependent of COBRA rights.
- Prepares and mails eligibility correspondence including but not limited to enrollment forms, enrollment packages and self-payment notices.
- Scan and index documents into document storage system.
- Provides exceptional customer service via phone and email to internal and external customers.
- Regular and predictable attendance is an essential function of this job.
Qualifications
- Prior experience in a clerical and customer service, preferred but not required
- Post High School education or prior related work experience preferred
- Excellent customer service and phone skills
- Proficient in MS Word, Excel and Outlook
- Ability to read and interpret eligibility plan rules, department rules and procedures manual and COBRA compliance manual
- Ability to speak clearly and effectively in order to explain eligibility requirements to members, dependents, providers and union officials
- Ability to multi-task
Work Environment - Fast paced department. Phone calls are continuous and often unpleasant. Must be able to maintain composure with difficult caller. Most work is done independently. Must be able to multi-task. Must be detailed oriented.
Work Schedule - Full-time. Monday - Friday, 8:30am – 5:00pm. Required in office (no at-home days).
Competitive Benefits and Compensation Package
- 14 paid holidays
- 10 paid vacation days
- 12 paid sick days
- 6 weeks paid adoption/foster care leave
- Employer-paid basic life
- Long-term disability and short-term disability insurance
- Medical, dental and vision insurance, with option for dependent coverage
- 401(k) with employer match
- Tuition reimbursement
Pay
The current starting rate for this position is $20.63 per hour. This is a union position. The wage rate for this position is determined by the collective bargaining agreement and may be dependent on 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
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.
Salary : $21
