Benefits Coordinator

$41,600 - $49,920/Yr

Advanced Medical Manage - Long Beach, CA

Full-time

Long Beach, CA

About the position

The Benefits Coordinator plays a crucial role in supporting the benefits analyst by managing all aspects of benefit configuration, including programming, reviewing, and auditing benefits to ensure accurate processing for authorizations and claims. This position requires strong organizational skills and the ability to communicate effectively with various departments and health plans to verify and document benefits information.

Responsibilities

• Knowledgeable of Health Plan web sites to obtain benefits information for members.
• Able to contact Health Plans by phone to verify members benefits.
• Understand to check Eligibility at the same time while verifying benefits.
• Communicate and document findings internally with Benefits team.
• Ensure all systems are responsible, reliable, responsive and support to the needs of all IPAs of AMM.
• Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives.
• Create and Maintain Option Masters for each benefit option provided by the Health Plan by LOB.
• Develops and implements data integrity initiatives for benefits configuration and any other areas that support the effective operation of internal systems.
• Coordinates, documents, and development projects - Must be highly organized.
• Assists and support different department inquiry with emails, answering phone calls and call health plans to verify information.
• Provides daily oversight of benefits.
• Input and update benefits for all Health plans and all IPAs' lines of business.
• Responsible for adding options in EzCap for Eligibility Department daily.
• Program, review and update benefits in EzCap on a daily basis.
• Assist in downloading Benefits Online.
• Assist and recommend in the development of process improvements including policies and procedures.
• Assist with training and supporting AMM team.
• Able to respond to emails in a timely manner and provide support.
• Coordinating with various departments to resolve benefits inquiries or any system related issues.
• Good judgments to plan and accomplish goals.
• Performs variety of different tasks.
• Administers and ensures timely completion of all projects.

Requirements

• College Degree preferred.
• Experience with benefits configuration and interpretation.
• Ability to work with all levels within AMM.
• Highly organized and able to perform multiple tasks efficiently.
• Computer literate and knowledgeable of benefits.
• Knowledge of software applications such as EZCAP is a plus.
• Familiar with Microsoft Office (Word, Excel, Outlook, Microsoft Access).
• Strong time management skills, including the ability to prioritize deadlines on multiple projects.
• Produce accurate and high-quality work on time and consistently.
• Ability to work in a fast-paced environment.
• Strong analytical skills and problem solving skills are necessary.
• Positive attitude and excellent communication skills.
• Ability to work independently and within a team.

Nice-to-haves

• Experience with EZCAP software.
• Familiarity with health plan operations.