Benefit Eligibility Coordinator

Eligibility Benefit Support Coordinator

Ready to be the essential bridge for members continuing their healthcare journey? We are seeking a detail-oriented professional who can manage the critical process of COBRA and Retiree billing for members who have elected to continue benefits. As our Eligibility Benefit Support Coordinator, you'll ensure seamless transitions and accurate billing while providing essential support during important life changes.

What makes this role different :

Member advocacy focus : Support individuals during significant life transitions by ensuring continued access to healthcare benefits

Process ownership : Take responsibility for end-to-end COBRA and Retiree billing processes that directly impact member experience

Accuracy emphasis : Maintain meticulous attention to detail in billing, enrollment, and reporting that affects members' financial obligations

Cross-functional coordination : Work with downstream vendors and internal teams to ensure seamless benefit continuation

What you'll actually do :

Manage member communications : Review and respond to emails regarding COBRA / Retiree and billing-related questions while providing clear, helpful guidance to members navigating benefit transitions.

Ensure billing accuracy : Resolve billing discrepancies through systematic report analysis while auditing COBRA / Retiree member bills before mailing to prevent errors.

Process enrollments efficiently : Handle COBRA enrollments and terminations while updating demographic changes and generating certificates on the same day manual enrollments or transfers are completed.

Coordinate vendor relationships : Send urgent access to care emails to downstream vendors for COBRA / Retiree members while processing vendor notifications and reviewing paid-through reports.

Maintain compliance reporting : Work on RCO Status CMS reports to ensure accuracy while running quarterly censuses to identify and resolve discrepancies related to statuses, rating structures, and billing tiers.

Handle financial transactions : Post COBRA / Retiree member payments accurately while processing refunds and returned checks for members requiring assistance.

Qualifications

What you bring to our mission :

The foundational requirements :

• High school diploma or equivalent required

The technical competencies :

The professional qualities :

Why you'll love it here :

We believe in total rewards that actually matternot just competitive packages, but benefits that support how you want to live and work.

Your wellbeing comes first :

Financial security that makes sense :

Growth without limits :

A culture that energizes :

The practical stuff :

Ready to create a healthier world while building the career you want? We're ready for you.

No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you.

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $17.00 to $20.00 per hour. Note that compensation may vary based on location, skills, and experience.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders : employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.