Talent.com
COBRA & Premium Billing Admin I
COBRA & Premium Billing Admin IUnivera Healthcare • Buffalo, NY, US
COBRA & Premium Billing Admin I

COBRA & Premium Billing Admin I

Univera Healthcare • Buffalo, NY, US
2 days ago
Job type
  • Full-time
Job description

CoBRA & Premium Billing Administrator

Summary : The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and / or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily activities for COBRA and Third-Party Premium Billing Administration to ensure regulatory requirements & established standards and deadlines are met.

Essential Accountabilities

Client Team

  • Serves as a point of contact for clients and brokers in relation to the day-to-day operational tasks including, but not limited to, responding to client and broker inquiries / requests; scheduling, facilitating, and delivering client reporting; processing member refund requests; managing open enrollment requests; monitoring member grace periods, managing member payment requests, reviewing and reporting on member payment status.
  • Responds to client / broker inquiries on a timely basis within department service standards. Notifies and educates clients of any rules or regulation changes.
  • Conducts webinar demonstrations and supports client and broker training of the software system and portal functionality.
  • Manages the rate renewal process for assigned clients.
  • Participates in client and broker requested conference calls.

File Team and Enrollment

  • Responsible for the processing of the inbound and outbound departmental file exchanges within the services standards.
  • Files are primarily membership files that require adding, updating, or deleting subscriber group data within the software system. Responsible for processing any identified error or no-load files.
  • Responsible for the coordination and execution of the daily carrier file for member coverage reinstatements, changes, and terminations.
  • Coordinates and collaborates with the LBS EDI team to proactively identify and resolve any file errors.
  • Communicate with client, broker, or vendor(s) to resolve file related processing issues.
  • Supports the process of establishing and testing new client files.
  • Monitors and documents each respective carrier preferred eligibility process.
  • Works with Carriers to assure all billing activities meet the needs of the client and the carrier.
  • Level I

  • Maintains knowledge of rules, regulations, policies, and benefits governing COBRA and Premium Billing.
  • Administers group plans in accordance with all appropriate regulations and process all activity within service time standards.
  • Supports customer service team in answering or researching member inquiries. Researches, interprets, and responds to inquiries in a professional and efficient manner using problem solving skills.
  • Processes member requests not facilitated through software vendor, including but not limited to member payments, banking forms, enrollment and termination forms.
  • Assists in system and release testing and troubleshooting.
  • Performs departmental and team functions according to established desk level procedures (DLP). Participates in the development, updating, and monitoring of DLP.
  • Participates in ongoing training to further knowledge of regulations, software systems, policies and procedures, and develops skills to accurately fulfill requirements of the job.
  • Consistently meets the established departmental and team productivity metrics. Successfully satisfies the assigned tasks and standards of the inter-departmental team assignments.
  • Maintain current knowledge of LBS policy and procedures.
  • Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution's mission and values, adhering to the Corporate Code of Conduct and, leading to the Lifetime Way values and beliefs.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Regular and reliable attendance is expected and required.
  • Performs functions as assigned by management.
  • Level II (in addition to Level I Accountabilities)

  • Performs advanced research and resolution of inquiries and adjustments on behalf of clients, brokers or carriers.
  • Assists in resolution of escalated or systematic issues. Proactively identifies error trends.
  • Assists in client audits and data comparisons.
  • Services strategic accounts as well complex COBRA and Premium Billing accounts.
  • Serves as a resource to other team members.
  • Minimum Qualifications

    NOTE : We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and / or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

    Level I

  • High School diploma or equivalent. Associate degree in business administration or related field preferred.
  • Two or more years of related experience.
  • Knowledge of COBRA rules and regulations preferred.
  • General understanding of medical, dental, vision, and Medicare benefits.
  • Excellent problem solving, reasoning, and organizational skills. Ability to manage multiple projects.
  • PC experience including knowledge of Microsoft Word and Excel.
  • Excellent oral and written communication skills.
  • Ability to communicate effectively while working collaboratively and maintaining positive relationships with clients.
  • Ability to work in a team environment as well as independently.
  • Level II (in addition to Level I Qualifications)

  • Four or more years of experience working in COBRA and Premium Billing industry.
  • Strong knowledge of COBRA and Premium Billing rules and regulations.
  • Demonstrated problem solving and ability to resolve complex inquiries or escalated situations.
  • Advanced knowledge of departmental software system and Excel.
  • Physical Requirements

  • Ability to work while sitting and / or standing at a workstation viewing a computer and using a keyboard, mouse and / or phone for three (3) or more hours at a time.
  • The ability to hear, understand, and speak clearly while using a phone, with or without a headset.
  • Together we can create a better I.D.E.A. for our communities. At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity. We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.

    Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.

    Equal Opportunity Employer Compensation Range(s) : Minimum : $18.55 / hr - Maximum : $26.90 / hr

    Create a job alert for this search

    Billing Admin • Buffalo, NY, US

    Related jobs
    Billing Specialist (Buffalo, NY)

    Billing Specialist (Buffalo, NY)

    Goldberg Segalla • Buffalo, NY, United States
    Full-time
    Goldberg Segalla LLP, a national law firm with more than 23 offices in 11 states , seeks a highly motivated and organized individual to join its team as a Billing Specialist in its Buffalo office.T...Show more
    Last updated: 1 day ago • Promoted
    Payroll Clerk

    Payroll Clerk

    TradeJobsWorkForce • 14276 Buffalo, NY, US
    Full-time
    Payroll Clerk Job Duties : Maintains payroll information by collecting, calculating, an...Show more
    Last updated: 30+ days ago • Promoted
    Billing Specialist, Ambulatory Surgery Center

    Billing Specialist, Ambulatory Surgery Center

    EXCELSIOR ORTHOPAEDICS GROUP • Buffalo, NY, United States
    Full-time
    We are seeking a detail-oriented and experienced Biller to join our Ambulatory Surgery Center (ASC) team.The ideal candidate has strong knowledge of orthopedic coding, ASC-specific billing practice...Show more
    Last updated: 1 day ago • Promoted
    Bill Collector

    Bill Collector

    TradeJobsWorkforce • 14209 Buffalo, NY, US
    Full-time
    Responsible for performing various collection duties on consumer or mortgage accounts in various stages of risk or performance to effectively reduce delinquency, losses and increase recoveries.Area...Show more
    Last updated: 30+ days ago • Promoted
    Claims Analyst

    Claims Analyst

    Delaware North • Angola, NY, US
    Full-time +1
    Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York.As a Senior Risk Analyst, you will be responsible for actively managing the life cycle ...Show more
    Last updated: 6 days ago • Promoted
    Vocational Billing Specialist

    Vocational Billing Specialist

    The Arc Erie County NY • Buffalo, NY, United States
    Full-time
    The Arc Erie County New York has been supporting children and adults with disabilities, and their families in achieving their desired quality of life by creating opportunities through comprehensive...Show more
    Last updated: 1 day ago • Promoted
    Reception / Clerical

    Reception / Clerical

    Orville's Appliance Inc • Lancaster, NY, US
    Full-time
    The Delivery Receptionist is primarily responsible for adhering to the Closing Checklist in order to ensure all tasks are completed accordingly. They are also tasked with attending to customer.Manag...Show more
    Last updated: 11 hours ago • Promoted • New!
    Complaints Coordinator

    Complaints Coordinator

    VirtualVocations • Buffalo, New York, United States
    Full-time
    A company is looking for a Complaints & Grievances Coordinator (Temporary).Key Responsibilities Monitor, triage, and address incoming member complaints and grievances Conduct thorough case revie...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Gerber Ciano Kelly Brady LLP • Buffalo, NY, United States
    Full-time
    Gerber Ciano Kelly Brady LLP is seeking an experienced Billing Specialist for immediate full-time employment.Candidate should have a minimum of three (3) years experience, although exceptional cand...Show more
    Last updated: 1 day ago • Promoted
    Risk Insurance Analyst

    Risk Insurance Analyst

    Delaware North • Angola, NY, US
    Full-time +1
    Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York.As a Senior Risk Analyst, you will be responsible for actively managing the life cycle ...Show more
    Last updated: 6 days ago • Promoted
    Payroll Clerk

    Payroll Clerk

    TradeJobsWorkforce • 14226 Eggertsville, NY, US
    Full-time
    Payroll Clerk Job Duties : Maintains payroll information by collecting, calculating, an...Show more
    Last updated: 30+ days ago • Promoted
    Billing Specialist

    Billing Specialist

    VirtualVocations • Buffalo, New York, United States
    Full-time
    A company is looking for a Circulation Billing Specialist.Key Responsibilities Generate and ensure accuracy of billing files for assigned properties Process adjustments for carriers and single c...Show more
    Last updated: 30+ days ago • Promoted
    COBRA & Premium Billing Admin I

    COBRA & Premium Billing Admin I

    Excellus Health Plan • Buffalo, NY, US
    Full-time
    COBRA & Premium Billing Administrator.Summary : The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and / or subscribers concerni...Show more
    Last updated: 3 days ago • Promoted
    Appointment Setting - Remote

    Appointment Setting - Remote

    PURER USA • Cheektowaga, NY, US
    Remote
    Part-time
    PURER is dedicated to improving the daily lives of customers and representatives through innovative products and services. Customer health and well-being are central to our mission and drive everyth...Show more
    Last updated: 30+ days ago • Promoted
    Medical Billing Clerk

    Medical Billing Clerk

    TradeJobsWorkforce • 14265 Buffalo, NY, US
    Full-time
    REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show more
    Last updated: 30+ days ago • Promoted
    Clerical Admin

    Clerical Admin

    TradeJobsWorkforce • 14227 Cheektowaga, NY, US
    Part-time
    Qualifications Excellent verbal and written skills (in English) A strong work ethic Customer service experience Experience withMailChimp, Google Drive or Excel, and Google Calendar.This is a part-...Show more
    Last updated: 30+ days ago • Promoted
    Accounts Payable Clerk

    Accounts Payable Clerk

    TradeJobsWorkForce • 14231 Buffalo, NY, US
    Full-time
    Accounts Payable Clerk Job Duties : Completes payments and controls expenses by receiving, processing, verif...Show more
    Last updated: 30+ days ago • Promoted
    Teller

    Teller

    Key Bank • East Aurora, NY, United States
    Full-time
    Douglas Lane - East Aurora, New York 14052-2188.Be a problem solver, trusted advisor, and partner to the people and businesses in our KeyBank communities. As a Teller, you provide excellent client s...Show more
    Last updated: 1 day ago • Promoted