Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $93,574.00
- Eligible for bonuses, commissions, or short-term incentive programs in addition to base pay
- Comprehensive benefits package including medical, dental, and vision coverage
- 401(k) retirement savings plan and Employee Stock Purchase Plan available
- Opportunities for professional development with free courses and education assistance
- Paid Time Off (PTO) and paid holidays throughout the calendar year

What to Expect (Job Responsibilities):
- Provide plan benefit review, interpretation, and systematic setup for claims adjudication
- Engage in discussions with clients regarding benefit interpretation and compliance with mandates
- Facilitate client-facing reviews of plan setups to ensure alignment with benefits
- Consult with internal stakeholders on complex benefit administration and processing options
- Execute system setup and mapping of client-level benefits to align with industry coding standards

What is Required (Qualifications):
- Minimum of 3 years of healthcare industry experience (Customer Service, Claims, and/or Plan Build preferred)
- Strong understanding of medical terminology
- Exceptional organizational skills with the ability to prioritize multiple assignments
- Strong communication skills to convey complex concepts clearly and concisely
- High attention to detail and accuracy in project deliverables

How to Stand Out (Preferred Qualifications):
- 5+ years of experience in the healthcare industry
- Proficient in Salesforce
- Ability to conduct thorough research to identify root causes of concerns

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