Benefits Administrator Salary at Pcci BETA

Job Description Job Description Dental claims follow up and billing, Posting checks. Presenting treatment plan estimates and coordinating treatment. Providing support with in coming phone calls.

Description Pharmacy Benefits Administrator Consultant KAI Partners, Inc. (KAIP) seeks a Pharmacy Benefits Administrator Consultant. They are primarily responsible for managing prescription drug benefits for health insurance plans by negotiating drug prices with manufacturers, developing formularies, processing prescription claims, and ensuring patients access the most cost-effective medications within their coverage plan; essentially acting as a middleman between pharmacies, drug manufacturers, and health insurers to control prescription drug costs while maintaining patient access to necessary medications. Responsibilities Providing consultation regarding policy formulation and oversight for all aspects of Medi-Cal's pharmacy, medical supply, and enteral nutrition benefits (Medi-Cal Rx), including state supplemental drug rebate negotiations and the federal drug rebate program. Assisting with Medicaid drug program policies and procedures, providing expert policy guidance and consultati

NOW IS THE BEST TIME TO JOIN FULL-TIME REMOTE COMPLETELY WORK FROM HOME ALL BENEFITS REPRESENTATIVES START AT ENTRY LEVEL AND MOVE UP! Suggested schedule of success to get you paid EACH WEEK! GLOBE LIFE: AO is looking for an entry level insurance benefits agent who is searching for an opportunity to help our members protect their families. AIL is one of the nation's significant providers of supplemental life and health insurance to labor unions, credit unions, and associations. We cover more than 2 million policy holders and represent more than $130 million in annual insurance product sales. AIL's growth is sustained through high customer satisfaction, innovative lead programs, customer referrals, and a competitive compensation program. JOB BENEFITS: Full training provided 100% work from home Competitive compensation Paid weekly along with earned bonuses Career advancement opportunities Company benefits Value a healthy work-life balance RESPONSIBILITIES: Respond to client requests for

Job Description Job Description SUMMARY: The Group Billing Representative is responsible for performing procedures associated with billing, premium distribution and account reconciliation Essential Duties and Responsibilities include the following. Other duties may be assigned. Works on site Process all invoices, statements and bills for client accounts as assigned. Review monthly billing reports for accuracy. Reconcile process and enter carrier payment information. Ensure that all invoices pursuant to the billing cycle are mailed in accordance with practice guidelines. Generate and review accounts payable/receivable reports to ensure accuracy. Monitor all third parties billing, communicate with carriers and Account Representatives or Account Executives to expedite the collection process. Research, resolve and respond to customer/group account problems and discrepancies in a timely, accurate and professional manner. Document and maintain all procedures and processes for groups assigned

Job Description Job Description Summary: The Reinsurance Liaison is responsible for researching, reporting and responding to all escalated stop loss filing requests. The Reinsurance Liaison will work with all departments necessary to gather all items needed to answer the stop loss filings questions, they will work internally with proactive communication regarding all stop loss related items on a day-to-day basis. Essential Duties and Responsibilities include the following. Other duties may be assigned. Gather all necessary information for stop loss research purposes & provide timely and detailed responses to requestor(s) Build strong relationships with Account Executives and Client Managers Build strong relationships with Reinsurance Management personnel Manage stop loss research and details from beginning-to-end. Make calls to providers as needed to gather or provide information as directed by Account Executives and Client Managers Reinsurance weekly reports and notification support a

Job Description Job Description Summary: The Accounting Specialist is responsible for general bookkeeping activities and practices within the office. Will participate in reviewing and appraising financial procedures and records. Will perform procedures associated with billing, premium distribution and account reconciliation. Essential Duties and Responsibilities include the following. Other duties may be assigned. · Maintains various detailed excel spreadsheets · Process all invoices, statements and bills for client accounts as assigned. · Cuts checks/remits payment to various vendors along with appropriate back-up · Reconcile, process and enter carrier payment information. · Maintains general ledger accounting system. · Research, resolve and respond to customer/group account problems and discrepancies in a timely, accurate and professional manner. · Document and maintain all procedures and processes for groups assigned to you. · Report weekly progress or status of regular and special

We are seeking a motivated, self-starting individual to assist the Sales & Account Management Team as an Open Enrollment Specialist. This position requires a friendly and engaging demeanor. Our ideal candidate has prior sales or open enrollment experience, and knowledge of both the health insurance industry and HIPAA guidelines. Key responsibilities include attending Benefit/Health Fairs, Wellness Events, and Open Enrollment Meetings educating customers about our benefits and plan offerings while answer any questions they may have. This includes engaging with customers(Employers, prospective/existing members, and brokers). Traveling required (including travel to SHP Site of material pickup/drop-off). Schedule (include days & hours anticipated): Intermittent hours depending on Open Enrollment assignment(s). Work is on-call and contracted by OE meeting volume(s).

Job Description Job Description Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. ****This Not a Remote Position**** Essential Duties and Responsibilities include the following. Other duties may be assigned. · Compares data on claim with internal policy and other company records to ascertain completeness and validity of claim. · Comprehensive understanding of employee benefits for medical, dental and vision plans. · Adjudicates medical claims, applies coordination of benefits as outlined in plan guidelines and works with providers to gather the necessary documents to make final payment determination on claims · Ensures all claims are coded properly. · Examines Summary Plan Document, claim adjustors' reports or similar claims/precedents to determine extent of coverage and liability. · Maintains high quality standards to avoid paying claim incorr