Address
Form of workEligibility Coordinator (Seattle, WA)
Summary – The Eligibility Coordinator is an entry level position and will provide customer service, determine, maintain and terminate member and/or dependent eligibility for health care benefits.
Essential Duties and Responsibilities included but not limited to
- Know the plan rules for eligibility as outlined in the Summary Plan Description (SPD) for each fund.
- Collect completed enrollment forms and add all members and their eligible dependents to the BeneSys computer system and any/all outside carrier systems; send requests for additional documentation on incomplete enrollment forms and/or denial with rights to appeal.
- Audit vendor reports and invoices on a monthly or weekly basis.
- Determine qualifying events and notify member/dependent of COBRA rights.
- Prepares and mails eligibility correspondence including but not limited to enrollment forms, enrollment packages and self-payment notices.
- Scan and index documents into document storage system.
- Provides exceptional customer service via phone and email to internal and external customers.
- Regular and predictable attendance is an essential function of this job.
Qualifications
- Prior experience in a clerical and customer service, preferred but not required
- Post High School education or prior related work experience preferred
- Excellent customer service and phone skills
- Proficient in MS Word, Excel and Outlook
- Ability to read and interpret eligibility plan rules, department rules and procedures manual and COBRA compliance manual
- Ability to speak clearly and effectively in order to explain eligibility requirements to members, dependents, providers and union officials
- Ability to multi-task
Work Schedule - Full-time, Monday - Friday, 8:00am - 5:00pm. Required in office (no at-home days).
Competitive Benefits and Compensation Package
- New employees receive 8 hours Paid Time Off per full month worked to be used for vacation, sick and personal time off
- 12 paid holidays
- Medical, dental, and vision insurance, with option for dependent coverage
- Flexible spending accounts
- Company paid short-term disability, long-term disability, basic life, and AD&D insurance
- 401(k) with employer match
- Tuition reimbursement program
- Career development opportunities
- Referral bonus
- Competitive wages
- Annual opportunities for increases and bonuses
Pay- The hourly rate for this position ranges between $21.00 - $23.00. Rate offered is dependent on location, experience, skills, education and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA & EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.
