Benefits Specialist Jobs

About The Position

Requirements

• 2 years of experience in bookkeeping work, insurance eligibility determination or closely related work and 1 year of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts OR An equivalent combination of education and experience, substituting the completion of 30 semester hours of college, including 6 hours of accounting for each year of the required 2 years’ experience in bookkeeping work, insurance eligibility determination or closely related work only.
• Strong knowledge of generally accepted accounting principles, auditing standards, employee state pension laws, federal COBRA guidelines, and relevant Internal Revenue Code sections.
• Skills in identifying and resolving discrepancies, accurately processing forms and reports, prioritizing tasks to meet critical deadlines, and maintaining compliance with HIPAA and EGID confidentiality regulations.
• Effective communication and professional customer service are essential when supporting internal and external stakeholders.

Nice To Haves

• Bachelor’s degree in accounting or related field
• 2 years of experience with Microsoft Excel, Access, or related database experience
• 2 (two) years of experience in bookkeeping work or closely related work experience
• 2 (two) years of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts

Responsibilities

• Protect privacy and confidentiality of program participants' information and comply with HIPAA regulations.
• Recognize and deny forms/requests that are considered to be non-compliant and produce response letters that adhere to all EGID rules within the required accuracy ranges.
• Post payments accurately within four business days. Reconcile accounts within five business days.
• Process queries, reports, and special projects accurately and within deadlines, adhering to unit procedures and EGID rules.
• Process refund requests, NSF returns, write-offs, and un-refunds accurately and within specified deadlines, adhering to all unit procedures and EGID rules.
• Process Workflow referrals and daily mail within 5 working days, within the required accuracy ranges.
• Provide timely, accurate, and professional guidance to internal and external customers regarding billing/reconciliation matters and generate the proper correspondence.
• Attend recurring unit/department/division/agency meetings and any mandatory trainings provided by Member Accounts leadership or Human Resources.
• Other duties as assigned.

Benefits

• Generous state-paid benefit allowance to offset insurance premiums.
• A wide selection of insurance plans with no pre-existing condition exclusions.
• Flexible Spending Accounts for health care and dependent care.
• Retirement Savings Plan with employer contributions.
• 11 paid holidays annually.
• 15 days of vacation and 15 days of sick leave in the first year.
• Longevity Bonus recognizing years of public service.
• Public Service Loan Forgiveness eligibility and tuition reimbursement.
• Wellness benefits, including an on-site gym and fitness center discounts.