Benefits & Eligibility Specialist - Data-Driven Impact

LSMA Management Inc; San Bernardino (CA); On-site; USD 36,000 - 40,000; Full time

Job summary

LSMA Management Inc in California is seeking a Benefits & Eligibility Coordinator to provide operational support for benefit configuration and eligibility processing within a managed care environment. This role ensures data accuracy and supports claims adjudication and member access.

Under the Benefits & Eligibility Manager, you will process updates, work queues, research discrepancies, and collaborate with Claims, IT, and Provider Services to keep benefit and member data current.

Qualifications

• Minimum: High school diploma or equivalent.
• Preferred: Associate’s degree or college coursework in Healthcare Administration, Business, or related field.
• Minimum: 2+ years in Managed Care Eligibility, Benefits Admin, or healthcare operations.

Responsibilities

• Process benefit and eligibility updates and manage assigned queues.
• Research data discrepancies and assist with routine eligibility file validation.
• Collaborate with Claims, IT, Provider Services, and other departments to maintain accurate benefit and member information.
• Maintain accuracy, completeness, and compliance of demographic, benefit, and eligibility data.

Skills

Eligibility processes

Benefit configuration

Data accuracy

Data entry

Attention to detail

SOP adherence

HIPAA compliance

Communication

Prioritization

Education

High school diploma

Healthcare admin coursework

Tools

EZ-Cap

Job description

LSMA Management Inc in California is seeking a Benefits & Eligibility Coordinator to provide operational support for benefit configuration and eligibility processing within a managed care environment. This role ensures data accuracy and supports claims adjudication and member access.

Under the Benefits & Eligibility Manager, you will process updates, work queues, research discrepancies, and collaborate with Claims, IT, and Provider Services to keep benefit and member data current.