Benefits Specialist

TEKsystemsTempe, AZ
3d$21 - $21Onsite

About The Position

Job Description: -Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests. Ensures assigned due dates for submitted change requests are met. -Troubleshoots and performs research on basic claims adjudication issues or inquiries -Ensures consistent customer satisfaction through consultation and collaboration with internal business partners to ensure that business requirements for submitted change requests are clearly understood, documented, developed, communicated, tested, and delivered flawlessly -Assists in creating and maintaining documentation of clients' plan designs, detailing any custom maintenance processes and configuration best practices. Includes documentation of adjudication hierarchies, edits, restrictions, tables, carriers, and other configuration components.

Requirements

  • customer service
  • healthcare industry
  • health plan
  • medical terminology
  • benefits management
  • Problem solving
  • Ability to research
  • Analytical
  • High organizational skills
  • Good time management and can work well on their own

Responsibilities

  • Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests.
  • Ensures assigned due dates for submitted change requests are met.
  • Troubleshoots and performs research on basic claims adjudication issues or inquiries
  • Ensures consistent customer satisfaction through consultation and collaboration with internal business partners
  • Assists in creating and maintaining documentation of clients' plan designs

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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