Benefits Verification Specialist Job at CVS Health (Malvern)

Senior Employee Benefits Specialist

Allied Universal® is hiring a Senior Benefits Specialist. The Senior Benefits Sp...

Location

United States , Irvine

Salary:

24.00 - 28.00 USD / Hour

Allied Universal®

Expiration Date

Until further notice

Requirements

High school diploma or equivalent (e.g., GED)
Minimum of four (4) years of benefits administrative experience in a fast-paced environment
Knowledge of all pertinent federal and state regulations, filing and compliance requirements affecting employee benefits programs, including ERISA, ACA, COBRA, FMLA, ADA, Section 125, and DOL requirements
Ability to maintain sensitive information in a strictly confidential manner, exhibiting a high degree of ethics, professionalism and service orientation in all activities and all interactions with internal and external individual
Proactive problem solver and collaborative team player with strong attention to detail, flexibility, and initiative, exercising sound judgment and discretion while effectively operating with minimal supervision
Advanced proficiency in MS Office products (Word/Excel/PowerPoint/Outlook), and Internet and website navigation
analytical and technical support in the delivery of benefit administration
Outstanding verbal and written communication skills required with the ability to successfully interact at all levels of the organization while functioning as a team player
Willingness to take direction and critical feedback, and adapt to improve skills and effectiveness with a positive attitude
Must be able to manage multiple priorities and meet deadlines while maintaining attention to detail and handling stressful situations calmly and professionally in a fast-paced environment

Job Responsibility

Assist with benefits administration of group benefits programs (group health, dental, vision, short-term and long-term disability, life insurance and flexible spending plans) on a daily basis, including monitoring and researching weekly benefit deduction changes and updates
Serve as a subject matter expert and primary point of contact for employee benefit inquiries, providing high-quality service and support to colleagues and HR teams by resolving complex or escalated matters and assisting employees through the benefits hotline during open enrollment and other peak periods
Perform quality checks and audits to ensure accurate benefits data and compliance adherence, support compliance testing and annual audits, and investigate and resolve significant, complex, or unusual issues raised by management or colleagues
Serve as a liaison between colleagues and carriers, handing or facilitating requests for contribution adjustments, refunds, or other administrative changes
Act as liaison for all insurance carriers and third-party administrators for employee eligibility, claim and plan coverage inquiries, providing accurate and timely responses. Coordinates directly with third party administrators to research and resolve issues
Lead the implementation, testing, and maintenance of new and existing carriers EDI files with internal and external teams
Support both automated and manual benefits processes while documenting and maintaining detailed administrative procedures for all assigned benefit responsibilities, including upkeep of the benefits website and share drive to ensure accurate and accessible information
Assist with annual open enrollment activities, including the timeliness of elections to carriers, as well as the annual ACA reporting process by gathering data from third-party administrators, audits, research, and answering employees’ questions
Coordinate daily benefits processing. Handle enrollments, COBRA, terminations, qualifying life event changes, beneficiaries, disability, accident and death claims, and National Support Orders, Employee and Wage verifications, maintain group benefits database and update employee records
Assist with special projects assigned by management team

What we offer

Medical, dental, vision, retirement plan, basic life, AD&D, and disability insurance
Eight paid holidays annually, five sick days, and four personal day
Vacation time offered at an accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.

Fulltime

Payroll & Benefits Specialist

The Payroll & Benefits Specialist will be responsible for providing managers and...

Location

United States , Windsor

Salary:

Not provided

Morris Group, Inc

Expiration Date

Until further notice

Requirements

Associate degree or equivalent experience
Supervisory experience
5 to 7 years Payroll Experience
Experience processing multi-state payroll preferred
Experience working with a multi-faceted HRIS platform- Kronos preferred
Outstanding customer service skills and the ability to anticipate employee and management needs
Highly adaptable with outstanding attention to detail and follow through
Ability to maintain confidentiality and exercise utmost discretion
Excellent problem solving/judgement skills
Strong interpersonal skills and ability to work independently and under pressure

Job Responsibility

Process multi-state, semi-monthly payroll-start to finish
Process all long-term absences, determine eligibility for various leave programs including Family and Medical Leave (FMLA) and temporary disability leave
Counsel with employees and supervisors concerning leave benefits
Work collaboratively with the HR Team and Finance department to process and coordinate all employee leaves of absences
Assist in workers compensation administration
Perform employee data verifications inclusive of new hires/terminations as necessary
Assists in year-end payroll processing
Maintain employee confidence and protect operations by keeping human resource information confidential
Respond to daily user inquiries

What we offer

Competitive starting salary
Market competitive comprehensive health benefits including a zero premium medical plan offering, vision, dental, and company paid life insurance
Paid Time Off, starting with 23 paid days off in your first year
10 Company Paid Holidays
401(k) retirement plan with company contribution
Tuition reimbursement
Employee appreciation events and perks
Employee Assistance Program

Fulltime

HR Specialist

We are searching for a proficient HR Specialist to join our team in Omaha, Nebra...

Location

United States , Omaha

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a HR Specialist role or similar
Proficiency in Benefit Functions, ensuring effective administration and distribution
Demonstrated knowledge and understanding of Compliance within the HR field
Proven ability to handle Employee Relations, fostering positive rapport and resolving conflicts
Experience with Family and Medical Leave Act (FMLA) procedures and regulations
Competence in using ADP for payroll management
Familiarity with Full Cycle Payroll processes, including preparation, input, verification, and reporting
Skilled in HR Payroll System operation and management
Ability to efficiently Process Payroll, ensuring accurate and timely payments
Experience in processing Bi-weekly Payroll, managing all related tasks and duties

Job Responsibility

Management and oversight of organization's benefits programs including health, dental, vision, life insurance, and retirement plans
Accurate and efficient processing and reconciliation of payroll
Timely remittance of payroll taxes and government reporting
Preparation of monthly, quarterly, and year-end payroll statements
Administration of benefits enrollments, terminations, and claims
Research and recommendation of benefits offerings, and negotiation with benefits plan vendors
Communication of changes in benefit programs to employees, including open enrollment schedules
Ensuring compliance with relevant federal and state regulations, filing, and compliance requirements
Maintenance of accurate customer credit records
Resolution of customer inquiries and monitoring of customer accounts

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Medical Billing Specialist

We are seeking a Medical Billing Specialist to join our team in the Healthcare i...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Excellent customer service skills with a patient-centered approach
Proficiency in data entry tasks, with a focus on accuracy and efficiency
Experience with numeric data entry, demonstrating high levels of precision
Ability to handle high-volume data entry tasks without compromising on quality
Proven track record of performing data entry tasks in a fast-paced environment
Knowledge and experience in medical billing procedures
Familiarity with insurance verifications, ensuring proper patient coverage
Expertise in medical insurance verification, confirming the validity and applicability of patients' insurance policies

Job Responsibility

Administer accurate and timely processing of patient accounts
Verify and secure correct insurance benefits for patients
Confirm waiver coverage for patient accounts
Validate the accuracy of patient information within accounts
Identify what items are covered by payors and coordinate benefits accordingly
Monitor patient accounts and take necessary actions
Utilize customer service skills to resolve patient inquiries
Carry out high-volume data entry tasks
Perform insurance verifications for medical purposes
Leverage general computer knowledge, specifically Microsoft Outlook and Teams, for data entry and communication purposes

What we offer

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Fulltime

Medical Billing Specialist

We are seeking a Medical Billing Specialist to join our team in the Healthcare i...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Excellent customer service skills with a patient-centered approach
Proficiency in data entry tasks, with a focus on accuracy and efficiency
Experience with numeric data entry, demonstrating high levels of precision
Ability to handle high-volume data entry tasks without compromising on quality
Proven track record of performing data entry tasks in a fast-paced environment
Knowledge and experience in medical billing procedures
Familiarity with insurance verifications, ensuring proper patient coverage
Expertise in medical insurance verification, confirming the validity and applicability of patients' insurance policies

Job Responsibility

Administer accurate and timely processing of patient accounts
Verify and secure correct insurance benefits for patients
Confirm waiver coverage for patient accounts
Validate the accuracy of patient information within accounts
Identify what items are covered by payors and coordinate benefits accordingly
Monitor patient accounts and take necessary actions
Utilize customer service skills to resolve patient inquiries
Carry out high-volume data entry tasks
Perform insurance verifications for medical purposes
Leverage general computer knowledge, specifically Microsoft Outlook and Teams, for data entry and communication purposes

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Lew...

Location

United States , Lewiston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in customer service, preferably in a healthcare or administrative setting
Strong administrative skills, including attention to detail and organizational abilities
Proficiency in data entry with a focus on accuracy and efficiency
Familiarity with insurance verification and collections processes
Ability to handle sensitive patient information with discretion and professionalism
Excellent communication skills to explain forms and processes clearly to patients
Knowledge of medical terminology and compliance standards is an advantage
Capability to work independently and as part of a team to meet operational goals.

Job Responsibility

Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures
Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service
Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections
Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained
Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes
Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation
Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership
Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed
Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan
Free online training.

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Bet...

Location

United States , Bethel Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in patient registration, scheduling, or related healthcare roles
Strong skills in medical insurance verification and understanding of compliance standards
Excellent interpersonal and communication abilities to assist patients and provide exceptional service
Proficiency in using auditing systems and reporting tools for account corrections
Ability to manage inbound and outbound calls to collect patient information and financial liabilities
Familiarity with consent forms and patient education materials
Detail-oriented with the capability to meet point-of-service collection goals
Adept at working with insurance verification systems and maintaining clean claim rates

Job Responsibility

Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation
Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders
Meet assigned point-of-service goals through efficient and precise handling of patient accounts
Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed
Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances
Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians
Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections
Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Fulltime

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