Benefits Validation Specialist

Independence Blue Cross

Philadelphia, PA

Apply

JOB DETAILS

SKILLS

Analysis Skills, Auditing, Communication Skills, Customer Support/Service, Detail Oriented, Documentation, External Audit, Market Segmentation, Medicare, Multitasking, Presentation/Verbal Skills, Reconciliation, Sales, Time Management, Writing Skills

LOCATION

Philadelphia, PA

POSTED

4 days ago

Benefit Validation Specialist-Benefit Maintenance
• Assess and review all client setup and benefit related tickets
• Support SWAT team working high priority and time sensitive issues
• Work reconciliation and fallout reports timely and accurately
• Serves as liaison with vendors and all entry points for benefit related tickets identified and submitted by Customer Service, Sales, Member Appeals, Executive inquiries
• Review and identify appropriate documentation and rules to support accurate responses to tickets
• Handle Benefit Incidents for all lines of business and all market segments in PA and NJ as well as Medicare Advantage Plans Fully Insured and Self-Funded.
• Sources used are across several applications including, product configurator, FOS and HRP.
• Utilize client setup and benefit expertise to respond to customer audits being managed by the External Audit team
• Review and provide specific supporting detail and appropriate written responses that are deemed appropriate to share with key, critical, highly visible customers
• Facilitate discussions to ensure various departments are aligned in understanding of rules and benefit setup

QUALIIFICATIONS:
• Bachelor's degree or equivalent experience
• 3-5 years of related experience
• Proven effective communication and analytical skills required to convey complex ideas and concepts by management
• Must be detail oriented and understand corporate objectives
• Proficient skills with Microsoft office
• Must have strong emphasis to details
• Excellent written and verbal communication skills
• Ability to multi task

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Benefits Validation Specialist

Independence Blue Cross

Philadelphia, PA

About the Company

Independence Blue Cross

Similar Job Searches