Transplant Benefit Specialist
Elevance Health•Mason, OH
•Remote
About The Position
The Transplant Benefit Specialist will be responsible for ensuring accurate transplant benefit administration for all lines of business. Interfaces daily with providers and members to resolve benefit issues and provide education where needed. Responsible for analyzing components of benefits and alerting management of risks.
Requirements
- HS diploma or equivalent and a minimum of 3 years related experience; or any combination of education and experience which would provide an equivalent background.
Nice To Haves
- Knowledge of health benefits and medical terminology strongly preferred
Responsibilities
- Interprets benefits and interfaces with members and providers to give benefit information
- Prepares individual benefit quotes for members and providers for transplant benefits
- Identifies high risk cases and alerts management
- Interfaces with internal and external representatives on benefit issues
- Creates new cases in the Medical Management System with accurate benefit, group and provider information
- Creates Case Management Folders and determines initial acuity level of case
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
