Job Description
Job Description
POSITION SUMMARY: The Administrative Services Specialist reports to the Administrative Services Supervisor. This position maintains updated enrollment and benefit information for all self-insured employer groups.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Answer telephone inquiries from insured members, employers, providers, etc., regarding enrollment and prescription issues.
- Process EDI Member Maintenance on a daily basis.
- Oversee the process of benefit additions, changes and deletions in the GBAS system within 24 hours of receipt.
- Manage the process of benefit additions, changes and deletions in the GBAS system.
- Oversee the process of prescription drug benefits additions, changes and deletions with Pharmacy Benefit Managers.
- Coordinate the printing and mailing of health ID cards to insured members.
- Provide COBRA administration for self-insured groups who request the service.
- Respond to HIPAA certificate requests.
- Run eligibility reports as needed.
- Participate in audits as needed.
- Notify management of overtime needs by completing appropriate forms.
- Perform other duties as assigned.
GENERAL EXPECTATIONS:
- Present a positive image of Consociate Health at all times.
- Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer or coworker.
- Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
- Identify and perform work that has not been specifically assigned, as needed.
- Adheres to established safety standards and utilizes proper techniques to avoid work related injuries.
- Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
- Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division.
- Attend required in-service and staff meetings.
- Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.
KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:
- High School Education Required.
- Previous experience working in the insurance or benefits management field.
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Paid training
- Vision insurance