[Hiring] Billing & Eligibility Coordinator @WM MICHAEL STEMLER INC

Role Description

• Review and reconcile client eligibility and payments.
• Determines active, retiree, and COBRA eligibility based on plan sponsor plan provisions.
• Processes enrollment eligibility files and completes 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 reconciles payments according to vendor requirements and company guidelines.
• Disburse end-of-the-month reports to clients as required.
• Completes the review of and responds to vendor discrepancy reports as assigned.
• Interprets and communicates COBRA and HIPAA regulations.
• Handles self-pay administration according to plan provisions and guidelines.
• Answers email and call inquiries from participants, clients, vendors and local unions.
• Provides customer service and maintains effective relationships with clients, participants, agents, and brokers.
• Update and maintain Client Policy and Procedure document.
• Adheres to and is responsible for the understanding of company eligibility policies and procedures and resources.
• Meets department production and quality metrics.
• Participates in and contributes to mandatory department meetings, training, and company events.
• Completes company, department, or plan sponsor special projects.
• Follows company attendance policy and adheres to provisions in the collective bargaining agreement.
• Upholds and exemplifies company values.
• Performs other duties as assigned.
• Review and process all internal and client specific weekly and/or monthly reports.
• Email and Group folder organization.

Qualifications

• This position is customer service oriented.
• 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.

Requirements

• 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.