Eligibility Coordinator (Murray, UT)

BeneSys, Inc.; Murray (UT); On-site; USD 50,000 - 53,000; Full time

Benefits offered by this job

PTO and paid holidays

Medical, dental, vision insurance

Life insurance and disability coverage

401k with employer match

Tuition reimbursement program

Career development opportunities

Referral bonus

Job summary

BeneSys, Inc. in Murray, UT seeks an entry-level Eligibility Coordinator to provide customer service and manage member eligibility for health care benefits.

You will collect enrollment forms, update systems, notify about COBRA rights, and assist with documentation while ensuring accuracy and compliance. The in-office role offers benefits and growth opportunities.

Qualifications

• Prior clerical and customer service experience preferred.
• Post high school education or 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 and COBRA manuals.
• Ability to speak clearly to explain eligibility requirements.
• Ability to multi-task.

Responsibilities

• Know the plan rules for eligibility as outlined in the SPD for each fund.
• Collect enrollment forms and add members and dependents to BeneSys systems; request missing docs.
• Audit vendor reports and invoices on a monthly or weekly basis.
• Notify members of COBRA rights after qualifying events.
• Prepare and mail eligibility correspondence and self-payment notices.
• Scan and index documents into the storage system.
• Provide exceptional customer service via phone and email.
• Maintain regular and predictable attendance.

Skills

Customer service

Phone etiquette

Reading plan rules

COBRA compliance

Multi-tasking

Education

Post high school education or related work experience

Tools

MS Word

Excel

Outlook

Job description

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
• 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, 7:30am - 4:00pm. Required in office (no at-home days).

Competitive Benefits And Compensation Package

• Paid Time Off (PTO)
  • 15 days of PTO during first full calendar year!
• Medical, dental, vision, and life insurance
• Company-paid basic life, short-term disability, long-term disability, and AD&D insurances
• 401k with employer match
• Tuition reimbursement program
• Career development opportunities
• Referral bonus for all successful full-time referrals

Pay

The rate for this position is $24.00 - $25.50 per hour. Actual rate offered dependent on skills, experience, 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.