Eligibility Administrator

POSITION SUMMARY:

The Eligibility Administrator is responsible for maintaining and enhancing client relationships using proven client service skills and focusing on core business functions. This position will be responsible for managing large business accounts and ensuring client satisfaction. Strong collaboration skills are required as Eligibility Administrator are often required to coordinate member requests.

 

KEY COMPETENCIES:

  • Strong written and verbal communication skills
  • Proficient in Microsoft Excel, Word and Outlook
  • Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment
  • Demonstrate ability to work independently with excellent judgment
  • Basic accounting practices
  • Accurate data entry skills (40wpm)
  • Knowledge of COBRA rules and guidelines a plus

 

JOB DUTIES:

  • Process enrollments, changes, and terminations; assemble various letters, i.e., initial COBRA & HIPAA letters, COBRA termination letters, HIPPA certificates, full-time student status letters, etc.
  • Coordinate COBRA and HIPPA administration including accounts payable, preparation of billing statements and posting of COBRA premium payments.
  • Review and reconcile monthly billing statements.
  • Provide customer service to outside vendors and group contacts; resolve eligibility issues.
  • Participate in special projects as assigned, including mass mailings of ID cards for new groups and renewals, mailings of open enrollment material, etc.
  • Maintains enrollment databases and coordinates electronic eligibility.
  • Verifies enrollment status, makes changes to member records and addresses a variety of enrollment questions and concerns.
  • Ability to research and resolve technical issues and/or client problems as they arise with minimal direction.
  • Written and oral communication skills to include modern business communications, formatting of professional letters, reports and phone etiquette.
  • Issues ID Cards and imports/exports eligibility information from the database.
  • Provide support to other Eligibility Specialists as needed.
  • Complete any other tasks assigned by the Eligibility Manager.

 

QUALIFICATIONS:

  • High School Diploma/GED.
  • 1-2 years’ experience in employee benefits plan administration.
  • Prior healthcare and customer service related experience preferred.
  • Experience in self-funded plan administrations a plus.

 

COMPANY OVERVIEW:
With over 450,000 covered members and 400+ clients, HealthComp is the nation’s largest leading independent health plan administrator for self-funded employer groups. HealthComp has been dedicated to transforming benefits administration for over 25 years. Bringing together concierge-level service, operational excellence, powerful analytics and cost management, our solution integrates seamlessly with any benefits ecosystem. HealthComp has offices in California, Illinois, West Virginia and Pennsylvania. For more information, visit HealthComp.com.

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