[Hiring] COBRA & Premium Billing Admin I @Excellus BCBS

Role Description

The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily activities for COBRA and Third-Party Premium Billing Administration to ensure regulatory requirements & established standards and deadlines are met.

Qualifications

• High School diploma or equivalent. Associate degree in business administration or related field preferred.
• Two or more years of related experience.
• Knowledge of COBRA rules and regulations preferred.
• General understanding of medical, dental, vision, and Medicare benefits.
• Excellent problem solving, reasoning, and organizational skills. Ability to manage multiple projects.
• PC experience including knowledge of Microsoft Word and Excel.
• Excellent oral and written communication skills.
• Ability to communicate effectively while working collaboratively and maintaining positive relationships with clients.
• Ability to work in a team environment as well as independently.

Requirements

• Serves as a point of contact for clients and brokers in relation to the day-to-day operational tasks including, but not limited to, responding to client and broker inquiries/requests; scheduling, facilitating, and delivering client reporting; processing member refund requests; managing open enrollment requests; monitoring member grace periods, managing member payment requests, reviewing and reporting on member payment status.
• Responds to client/broker inquiries on a timely basis within department service standards. Notifies and educates clients of any rules or regulation changes.
• Conducts webinar demonstrations and supports client and broker training of the software system and portal functionality.
• Manages the rate renewal process for assigned clients.
• Participates in client and broker requested conference calls.
• Responsible for the processing of the inbound and outbound departmental file exchanges within the services standards.
• Responsible for the coordination and execution of the daily carrier file for member coverage reinstatements, changes, and terminations.
• Coordinates and collaborates with the LBS EDI team to proactively identify and resolve any file errors.
• Communicate with client, broker, or vendor(s) to resolve file related processing issues.
• Supports the process of establishing and testing new client files.
• Monitors and documents each respective carrier preferred eligibility process.
• Works with Carriers to assure all billing activities meet the needs of the client and the carrier.
• Maintains knowledge of rules, regulations, policies, and benefits governing COBRA and Premium Billing.
• Administers group plans in accordance with all appropriate regulations and process all activity within service time standards.
• Supports customer service team in answering or researching member inquiries.
• Researches, interprets, and responds to inquiries in a professional and efficient manner using problem solving skills.
• Processes member requests not facilitated through software vendor, including but not limited to member payments, banking forms, enrollment and termination forms.
• Assists in system and release testing and troubleshooting.
• Performs departmental and team functions according to established desk level procedures (DLP).
• Participates in ongoing training to further knowledge of regulations, software systems, policies and procedures.
• Consistently meets the established departmental and team productivity metrics.
• Maintain current knowledge of LBS policy and procedures.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution’s mission and values.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs functions as assigned by management.
• Performs advanced research and resolution of inquiries and adjustments on behalf of clients, brokers or carriers.
• Assists in resolution of escalated or systematic issues. Proactively identifies error trends.
• Assists in client audits and data comparisons.
• Services strategic accounts as well complex COBRA and Premium Billing accounts.
• Serves as a resource to other team members.

Benefits

• Compensation Range(s): Minimum: $20.40/hr - Maximum: $27/hr
• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.