Physician Benefits Administration Consultant I
- Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback
- Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies, and applying data and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.
- Executes benefits transactions under the guidance of more senior team members by responding to inquiries from physicians and vendors; verifying appropriate benefit offerings based on eligibility requirements; providing auditing, quality assurance, and compliance support; supporting open enrollment and other enrollments related to status changes; resolving physician and/or vendor issues; and working with vendors, technical contacts, and management to resolve issues as appropriate.
- Supports benefits and financial analyses by assisting in the consolidation of data to explain financial results and inform decision-making; building an understanding of data gathering methods; and ensuring the quality and completeness of work deliverables.
- Provides exceptional customer support directly to physicians by ensuring the highest quality, one-touch, full-cycle customer service; understanding and anticipating client needs; solving and/or escalating problems as appropriate; minimizing follow-up; and maximizing customer satisfaction.
- Supports the communication of program terms to physicians, management, and vendors by presenting conclusions about areas of accountability and financial sustainability to stakeholders in verbal and written form; and assisting in the documentation of positions and processes in support of process improvement and knowledge retention.
- Supports program administration by executing program processes under the guidance of more senior team members; maintaining program activities and documentation; and working with stakeholders and vendors to support strategic departmental and organizational goals.
- Supports the review and evaluation of new and existing programs or initiatives by assisting in the preparation of program resources and documentation to facilitate management analysis and review.
- Supports system and interface design, implementations, enhancements, and continuous improvements by building an understanding of how transactions flow through source systems; assisting in the validation of ongoing configuration decisions; and supporting system(s) review in area of expertise to identify enhancement opportunities.
- Maintains compliance with policies and procedures to meet operational needs for new and existing initiatives.
- Minimum one (1) year experience working with Microsoft Office.
- High school diploma or GED and Minimum one (1) year experience working in an office environment or in an administrative, operations, or customer service role.
- One (1) year experience in benefits administration, including working with an HRIS.
- One (1) year working with or managing confidential data according to prescribed compliance and regulatory procedures (e.g., HIPAA).
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