Position Code: 3010
Department: Benefit Plan Programming
Location: Columbus, Ohio
Immediate Supervisor: Cynthia Martin
Posted: April 27 2018
Essential Functions of Job:• Build Medical, Dental and Vision plans into claims system to process benefits as efficiently as possible without manual intervention from the Analyst • Review new and existing plans to discover means of improving autopay and auto-adjudication capabilities • Participate in new client installation process • Review client check-list and review SPD & BPD • Identify, create and test claim parameters for individual clients (new & renewals) • Coordinate and document plan design with Administrators, Client Service Managers, Client Directors and billing • Test all plan enhancements prior to release • Research and resolve issues related to how the claim system calculates client benefits • Work closely with other Departments as needed in conjunction with plan building • Some travel may be required • Work on various projects and initiatives as assigned by Department Manager • Ability to report to the office
Qualifications:• High school diploma or equivalent • Effective organizational and prioritization skills • Excellent written and oral communication skills, including giving presentations • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Meticulous attention to detail • Logical, analytical approach to understanding of medical, dental and vision benefits • Experience in programming benefits in claim administration software desired • 5 or more years health claims administration experience preferred
The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.
Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.
Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.