Coordinator, Benefits
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About The Position
The Coordinator, Benefits plays a crucial role in supporting the Benefits team by interpreting health plan benefits and effectively responding to inquiries from members, providers, and internal departments. This position is essential for ensuring that all inquiries regarding benefit coverage are handled accurately and efficiently. Reporting directly to the Supervisor of Health Plan Benefits, the Coordinator will be responsible for verifying benefit coverage and providing detailed information about copayments, coinsurance, deductibles, out-of-pocket limits, and overall financial responsibility. In this role, the Coordinator will be tasked with responding to both phone and email inquiries, ensuring that all communications are handled with professionalism and accuracy. When inquiries arise that require further review, the Coordinator will escalate these to the Supervisor or Team Lead for additional guidance. Furthermore, the Coordinator will be responsible for the initial setup of new benefit options, which includes creating new Option Masters and entering relevant out-of-pocket and deductible limits into the system. The Coordinator will also maintain important documentation, such as the Evidence of Coverage (EOC), benefits listings, and benefits summaries, ensuring that all files are up-to-date and accessible. Additionally, the Coordinator will support project teams in developing system enhancements and new processes aimed at optimizing productivity and workflow within the Benefits department. This position may also involve other tasks as directed by team leadership, making it a dynamic role within the organization.
