Benefit Eligibility Coordinator Job at Personify Health (Tempe)

Benefit System Coordinator

Every group Personify Health serves runs on a foundation someone has to build an...

Location

United States , Tempe

Salary:

20.00 - 22.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Degree preferred but not required
Background in benefits administration, insurance, or healthcare operations a plus
Proficient in Microsoft Excel
Experience with benefits or eligibility administration systems (e.g., GIAS) and CRM platforms (e.g., Salesforce)
Working knowledge of group setup, rate tables, renewals, plan building, and eligibility data

Job Responsibility

Build new groups from the ground up: Create and secure approval on Salesforce setup sheets, stand up new groups in GIAS, configure ODR tables, and set up test members so each group launches ready to run
Audit every setup before go-live: Review new group builds, eligibility, and products against rate cards, catching errors before they reach members or billing
Maintain group records through their full lifecycle: Keep GIAS addresses, contacts, group names, accounts, plans, and PBM configurations current as groups evolve and add new products
Process renewals and rate updates end to end: Handle monthly GAP renewals with or without changes, update rate tables for pass-through costs, refresh renewal rate cards, and manage FSA renewal benefit plan information
Handle terminations cleanly: Process group and account terminations, delete PIDs on request, and administratively term members when their benefit plans are already closed
Resolve eligibility and billing issues: Investigate billing errors and eligibility problems and correct them so data stays accurate across every system
Support specialty groups and vendor accounts: Maintain Kempton groups, stand up Gap groups, add vendor accounts, build COBRA new-group checklists, and process change notices as needed
Partner across departments: Work with Account Management, Implementation, Plan Building, and Tech Ops to keep group data aligned and easy for internal and external teams to interpret

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Paid Time Off—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

New

Global Safety Officer

Join the engine of Sanofi’s mission — where deep immunoscience meets bold, AI-po...

Location

United States , Morristown; Cambridge

Salary:

178500.00 - 297500.00 USD / Year

Sanofi

Expiration Date

Until further notice

Requirements

M.D. Degree or equivalent
Minimum 3 years' total experience in international pharmacovigilance, or equivalent relevant industry experience (e.g. clinical development) with relevant clinical experience considered
Board Certified/Board eligible, or equivalent, is preferred
Excellent clinical judgment
Capability to synthesize and critically analyse data from multiple sources
Ability to communicate complex clinical issues and analysis orally and in writing
Able to develop and document sound risk assessment
Demonstrates initiative and capacity to work under pressure
Demonstrates leadership within cross-functional team environment
Excellent teamwork and interpersonal skills

Job Responsibility

Provide PV and risk management expertise to internal and external customers
Maintain knowledge of product, product environment, and recent literature
Maintain PV expertise, and understanding of international safety regulations and guidelines
Lead cross functional Safety Management Teams (SMTs) and GPE internal Safety Analysis Teams (SATs)
Communicate with and represent PV position within project/product teams, with external partners, key opinion leaders, and Health Authorities, and during internal and external negotiations
Provide strategic and proactive safety input into development plans
Support due diligence activities and pharmacovigilance agreements
Responsible for signal detection and analysis
Collaborate with Center of Excellence for Signal Detection and Data Mining and Safety Epidemiology group
Identify and implement proactive safety analysis strategies to further define the safety profile

What we offer

high-quality healthcare
prevention and wellness programs
at least 14 weeks’ gender-neutral parental leave

Fulltime

New

Billing Specialist

This is a full-time position with full benefits (health, dental, vision, 403B, p...

Location

United States , Shrewsbury

Salary:

26.44 - 31.25 USD / Hour

Veterans Inc.

Expiration Date

Until further notice

Requirements

Associate degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred
Equivalent work experience may be substituted for formal education
Minimum of five (5) years of healthcare billing experience
Minimum of three (3) years of experience in insurance verification, authorizations, billing support, claims preparation, or payer relations
Experience in Behavioral Health and/or Substance Use Disorder services strongly preferred
Experience working with MassHealth, Medicare, Medicaid Managed Care Organizations, and commercial insurance plans
Must be able to successfully pass a CORI/Background records check
Compliance with Veterans Inc. COVID-19 Vaccination Policy

Job Responsibility

Verify coverage: Confirm insurance eligibility, benefits, and payer-specific requirements for all new admissions and existing clients
Update systems: Maintain precise insurance records within the EHR and communicate coverage limitations or authorization needs to staff
Secure approvals: Obtain, track, and maintain authorizations for behavioral health and substance use disorder (SUD) services
Coordinate tracking: Manage expiration dates, submit Notices of Admission (NOAs), and collaborate with utilization review to prevent gaps in coverage
Audit accounts: Review documentation and authorizations prior to claim submission to prevent payment delays
Partner with contractors: Coordinate directly with the agency's external billing contractor to resolve edits, corrections, and claim issues
Stay compliant: Ensure all billing aligns with MassHealth, Medicare, Medicaid MCOs, commercial guidelines, BSAS, and HIPAA regulations
Act as an expert: Research payer updates and serve as the internal resource for evolving billing policies
Analyze trends: Identify systemic billing errors or authorization issues contributing to claim denials
Improve processes: Partner across admissions, clinical, and finance teams to implement process improvements that protect revenue

What we offer

BCBS Medical, Dental, and Vision Insurance
Employer Paid Short and Long-Term Disability and Life Insurance
$2500 Medical Opt-Out program if you have medical coverage through another source
Retirement Plan (403B) with a $2000 Match
Flexible Spending Accounts
Tuition Reimbursement Program
Paid Parental Leave

Fulltime

New

Bh um clinical reviewer- remote az

Responsible for identifying, researching, processing, resolving and responding t...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in clinical field of practice, health insurance, or other health care related field
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D.
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.

Job Responsibility

Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
Answer a diverse and high volume of health insurance related customer calls or correspondence daily
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Maintain complete and accurate records per department policy
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Demonstrate ability to apply plan policies and procedures effectively
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
When indicated to assist with team/project functions: Collaborate with team to distribute workload/work tasks, Monitor and report team tasks, Communicate team issues and opportunities for improvement to supervisor/manager, Support/mentor team members
Participate in continuing education and current developments in the fields of medicine, behavioral health and managed care at least annually

Fulltime

New

Assistant Event Manager

Responsible for all on-site details for executing group events, develop and foll...

Location

Japan , Tokyo

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or G.E.D. equivalent
At least 1 year of related work experience
At least 1 year of supervisory experience
Valid work visa for Japan or be eligible to work in Japan

Job Responsibility

Responsible for all on-site details for executing group events
Develop and follow checklist/itinerary
Troubleshoot event problems
Serve as liaison and contact person for coordinating details of events with clients, outside vendors, meeting planners, and others involved in events
Design, confirm, and communicate room layouts and set-up requirements for special events
Enter and retrieve information contained in computer databases using a keyboard, mouse, or trackball to update records, files, and reservations
Transmit information or documents using computer, mail, or facsimile machine
Operate standard office equipment other than computers
Prepare weekly departmental payroll paperwork
Verify that staffs of both the banquet and audio-visual departments are working together as a team to deliver optimum service and that guest needs are met

Fulltime

New

HR Manager

We are seeking an experienced US HR Manager with deep expertise in US employment...

Location

United States

Salary:

75000.00 USD / Year

Medius

Expiration Date

Until further notice

Requirements

5+ years of progressive HR generalist experience with strong knowledge of US HR laws and regulations
Proven experience working with PEOs (ADP strongly preferred)
Direct experience with 401(k) plan administration
Demonstrated ability to serve as a trusted HR SME, owning and leading HR operations independently
Strong HRIS experience with a focus on data integrity, audits, and process optimization (HiBob experience strongly preferred)
Hands-on experience owning formal ER cases including PIPs
Communication proficiency
Results-oriented
Strong ability to navigate ambiguity and manage competing priorities
Displays personal & corporate integrity

Job Responsibility

Serve as the primary owner and SME for all US HR processes, ensuring compliance with federal, state, and local employment laws
Provide authoritative guidance to managers and employees on HR policies, procedures, and best practices
Maintain and continuously update the US employee handbook and HR policy framework, ensuring alignment with evolving legislation
Ensure the integrity and accuracy of employee data within the HR Information System (HRIS - HiBob), including timely entry, updates, and audits of personnel records
Maintain compliance with data governance standards and support regular data quality reviews to identify and correct inconsistencies
Collaborate with HR teams and business stakeholders to ensure seamless data flow across systems and processes
Lead and oversee all aspects of the US onboarding process, from offer acceptance to first-day readiness, ensuring an exceptional employee experience
Add, maintain and evocate employee information in both the HRIS system and the ADP TotalSource system
Ensure compliance with work authorization requirements (I-9 and E-Verify), including periodic audits
Track probation periods via HRIS data

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement benefits

Fulltime

New

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support reven...

Location

United States , Charlotte

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical billing, including claim submission, denial review, and payment follow-up
Working knowledge of medical coding principles and the ability to recognize and correct claim-related errors
Background in medical collections and account resolution within a healthcare billing environment
Familiarity with medical claims processing and payer reimbursement procedures
Experience using EPACES or similar eligibility and claims support systems
Strong customer service skills with the ability to handle billing inquiries clearly and professionally
High attention to detail, solid organizational skills, and the ability to manage deadlines effectively

Job Responsibility

Review denied and rejected medical claims, identify the source of billing or coding discrepancies, make necessary corrections, and submit claims again within required timeframes
Confirm patient insurance eligibility and benefit details before services are provided to help prevent avoidable claim issues and support accurate cost estimates
Apply medical billing and coding knowledge to ensure claim information is complete, compliant, and aligned with payer requirements
Monitor claim status and pursue outstanding balances through consistent follow-up with insurance carriers and other payers
Support collection efforts by investigating unpaid accounts and coordinating appropriate next steps for resolution
Use billing platforms and tools such as EPACES to access coverage information, review claim activity, and maintain accurate account updates
Communicate clearly with patients, payers, and internal teams to address billing questions and resolve account concerns professionally

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan

Parttime

Medical Insurance Claims Specialist

We are looking for a Medical Insurance Claims Specialist to join a healthcare te...

Location

United States , Vancouver

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in insurance verification, medical billing, claims support, or a related healthcare administrative role
High school diploma or equivalent required
additional education in healthcare administration or a related field is preferred
Working knowledge of insurance eligibility review, patient benefits coordination, and medical claims processes
Familiarity with prior authorization and referral requirements across a range of insurance carriers
Understanding of medical terminology and its application in coverage verification and billing support
Strong organizational skills with a high level of accuracy and attention to detail
Effective verbal and written communication skills, along with a customer-focused approach when assisting patients and internal teams
Proficiency with healthcare software platforms and Microsoft Office applications

Job Responsibility

Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered
Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices
Enter, verify, and maintain accurate insurance and benefits information within the patient management system
Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner
Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission
Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification
Follow established healthcare regulations and organizational standards when handling patient information and insurance records

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Fulltime

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Benefit Eligibility Coordinator

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