Benefits Coordinator

Advanced Medical Management, Inc.; Long Beach (CA); On-site; USD 27,552 - 33,062; Full time

Benefits offered by this job

Full employer-paid HMO

Discounted vision and dental premiums

401(k) plan

Generous PTO and sick pay

Tuition reimbursement

Paid company outings and lunches

Job summary

A healthcare management company in Long Beach is looking for a Benefits Coordinator to support benefit configurations and ensure accurate programming for authorizations and claims. This role involves verifying health plans, maintaining benefits data, and coordinating with various departments. Ideal candidates will have an Associates Degree or equivalent experience, along with strong problem-solving and organizational skills. Generous perks include health coverage and paid time off.

Qualifications

• Experience with benefits configuration and interpretation.
• Ability to work independently and within a team.
• Must be computer literate and highly organized.

Responsibilities

• Verify benefits information for members by contacting Health Plans.
• Ensure accurate benefit programming for authorizations and claims.
• Assist with training and support for the AMM team.

Skills

Organizational skills

Analytical skills

Problem-solving skills

Time management

Education

Associates Degree or two years relative experience

Tools

Microsoft Office (Word, Excel, Outlook, Access)

EZCAP

Job description

3 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Advanced Medical Management, Inc. provided pay range

This range is provided by Advanced Medical Management, Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$20.00/hr - $24.00/hr

Position Summary

Position Summary
The Benefits Coordinator is supporting all aspects of benefit configuration from programming, reviewing, and auditing benefit configuration to ensuring that all benefits are programmed accurately for Authorizations and Claims.

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. This module houses the financial responsibility table number, Out of Pocket Maximums and Deductibles.
• 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 verified 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.
• Other duties may be assigned as needed to assist.

Education & Experience Requirements

• Associates Degree preferred, or two years of relative experience.
• Experience with benefits configuration and interpretation.
• Individual should also demonstrate the ability to work with all levels within AMM.
• Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of benefits.
• Knowledge of software applications such as EZCAP is a plus.
• Must be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access).
• Possess strong time management skills, including the ability to prioritize deadlines on multiple projects.
• Produce accurate and high-quality work on time and consistently.
• Strong analytical skills and problem solving skills are necessary.
• Ability to work independently and within a team.

Amm Benefits

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.
• Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!