Plan Document Writer

Leading Edge Administrators LLCTampa, FL
93d$57,000 - $75,000

About The Position

This position will employ technical writing skills to support new business and renewal business plan document needs by creating new plan documents, plan amendments and summaries. A Plan Document Writer will make any changes to Plan Documents, publish, audit, and notify all necessary parties of those changes.

Requirements

  • Bachelor’s degree or equivalent work experience drafting plan documents in a healthcare or benefits TPA setting.
  • 3+ years of experience as a Plan Document Writer role or in a Technical Writer role specific to medical benefits documents.
  • Familiarity with, and an understanding of the differences in, each type of Plan Document: SBC, SPD, BPD, SMM, and SMR.
  • Knowledge of medical procedure terminology preferred.
  • Solid working knowledge of standard computer applications including MS Word, Excel, Outlook and PowerPoint.
  • Ability using a computer which includes 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 a collaborative interaction with peers to reach a common goal as well as be a resource to team members and internal/external customers.
  • High attention to detail, excellent analytical and writing skills.
  • Make decisions using available resources and sound judgment.
  • Maintain confidentiality and discretion.
  • Identify and resolve problems in a timely manner.
  • Share knowledge with associates by effectively communicating and providing follow-up.
  • Open to other’s ideas and exhibits a willingness to try new things.
  • Demonstrate accuracy and thoroughness; monitor work to ensure quality.
  • Prioritize and plan work activities to use time efficiently.
  • Adapt to changes in the work environment, manage competing demands; able to deal with frequent change, delays, or unexpected events.
  • Follow instructions, respond to direction, and solicit feedback to improve.
  • Act in such a way to instill trust from management, other associates, as well as customers.

Responsibilities

  • Create and Maintain medical benefit plan documents: Summary of Benefits & Coverage (SBC), Summary Plan Description (SPD); Benefit Plan Descriptions (BPD); Summary of Material Modifications (SMM) or Summary of Material Reduction (SMR).
  • Ensure documents comply with federal legislation including ERISA to cover topics such as what the plan provides, how the plan operates, when participation may begin, how to file a claim, appropriate communication of changes and how documents should be distributed.
  • Submit completed documents or projects within Service Level Agreement timeframes.
  • Work closely with internal customers to ensure correct documentation is in place.
  • Research Plan Document questions using internal and external sources to validate inquiry responses and documentation issues.
  • Maintain accurate data in various platforms for variety of end users.
  • Write procedure documentation in accordance with business goals and legal requirements.
  • Create Summary of Material Modifications (SMM) or Summary of Material Reduction in Covered Services or Benefits (SMR) as required.
  • Provide timely documentation to users to help them reference understand how plan changes impact the system.
  • Publish, proofread, and edit documents to ensure ongoing compliance and quality.

Benefits

  • Pay range is $57,000-$75,000/year
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