Billing & Eligibility Coordinator

Position Responsibilities

• Review and reconcile client eligibility and payments.
• Determine active, retiree, and COBRA eligibility based on plan sponsor plan provisions.
• Process enrollment eligibility files and complete enrollment edits in system queues.
• Enter new employees and dependents into the system and make changes to existing records as required.
• Ensure identification cards are ordered correctly and timely according to plan sponsor and company guidelines.
• Post & reconcile client payments.
• Process vendor disbursements and reconcile payments according to vendor requirements and company guidelines.
• Disburse end-of-the-month reports to clients as required.
• Complete the review of and respond to vendor discrepancy reports as assigned.
• Interpret and communicate COBRA and HIPAA regulations.
• Handle self-pay administration according to plan provisions and guidelines.
• Answer email and call inquiries from participants, clients, vendors and local unions.
• Provide customer service and maintain effective relationships with clients, participants, agents, and brokers.
• Update and maintain Client Policy and Procedure document.
• Adhere to and be responsible for understanding company eligibility policies and procedures and resources.
• Meet department production and quality metrics.
• Participate in and contribute to mandatory department meetings, training, and company events.
• Complete company, department, or plan sponsor special projects.
• Follow company attendance policy and adhere to provisions in the collective bargaining agreement.
• Uphold and exemplify company values.
• Perform other duties as assigned.
• Review and process all internal and client specific weekly and/or monthly reports.
• Email and group folder organization.

This position is customer service oriented. It requires the ability to effectively communicate with HR staff at client groups, in addition to other external and internal customers; can prioritize assignments/tasks; work steadily, accurately and thoroughly; successfully meet assigned deadlines; evaluating and decision-making skills; reconciliation skills.

• Completion of high school or equivalent, including or supplemented by a course in bookkeeping, accounting or related. AA degree preferred.
• Minimum 6 months in customer service with bookkeeping or accounting experience.
• Can operate a 10-key adding machine.
• Must possess good oral and written communication skills along with strong basic mathematical skills.
• Proficient in Microsoft Applications and computer literacy.