Plan Building SpecialistDepartment: Plan Building
Employment Type: Full Time
Location: Mokena, IL
Reporting To: Patricia Lanza
Compensation: $20.00 - $27.00 / hour
DescriptionHealthComp is hiring a
Benefit Plan Builder who will be responsible for the build and maintenance of plan benefits for new and existing groups upon implementation, renewal, and changes. If you have experience in health benefits or claims management with excellent organizational skills and a strong attention to detail, this is the perfect opportunity to grow your career with a progressive leader in healthcare.
Key Responsibilities- Support Implementation and Account Management teams by consolidating information during new client implementation and/or renewal to ensure the accuracy of benefits
- Create benefit SMART sheets
- Translate benefits from ICD10, HCPCS, CPT, CDT and other insurance billing codes
- Audit plan build work of other teammates
- Build out groups and upload benefit summary to website for members and faxback system for providers
- Ensure compliance with applicable government regulations
- Process Group terminations
- Correspond with account managers, account coordinators, claims department, and other technical areas
- Troubleshoot claims errors and refer escalated issues to team lead
Skills, Knowledge & Expertise- At least 1 year of experience in healthcare field, claims or benefits preferred
- Experience with Self-funded health plans strongly preferred
- Working knowledge of medical billing and coding
- Highly organized, detailed-oriented, and deadline-driven
- Excellent communications skills to effectively interact with various teams
Benefits- Competitive pay with opportunity for career advancement
- Paid time off policy to support a healthy work-life environment
- Full offering of health and wellness benefits for you and your family
- Company paid life insurance and disability plan
- 401K plan with company matching
- Employee discounts and wellness program