BENEFIT PLAN ASSISTANT

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PURPOSE OF POSITION:

The primary purpose of the Benefit Plan Assistant is to build and maintain Standard Insured, MEWA, and Small Group QHP groups (Medical, Dental, and Vision) as well as tracking terms, transfers, plan changes, etc. and communicating across multiple departments.

RESPONSIBILITIES & EXPECTATIONS:

• Build new sponsor information in the QNXT operating system to allow proper Billing, Member Enrollment, Claims processing, and file imports/extracts for our Standard Insured, Small Group QHP and MEWA groups (medical, dental and vision).
• Complete plan changes and/or renewals for existing Standard Insured, Small Group QHP, and MEWA groups.
• Send notifications to all departments regarding groups/plans, plan changes, etc and track signoff completion from various departments. (Q2 notifications)
• Responsible for tracking and routing Term notices, Transfer Notices, and the Hold list.
• Assigns new group numbers to Sales/Retention upon request.
• Responsible to assure documentation is imaged for all changes made.
• Responsible for triaging all incoming emails within the department
• Responsible for tracking turn-around time for Insured Product group building
• Process Improvement: Continuously reviews, recommends, and implements improvement steps, as needed, or directed.
• Seeks supervisory guidance/approval as appropriate.
• Portrays professional image, follows dress code; communicates with internal and external customers in a professional manner, including appropriate verbal and written grammar.
• Promotes and demonstrates professional standards to enhance the development of the department
• Practices ethical conduct.
• Meets acceptable attendance and punctuality expectations (excluding FMLA).
• Meets acceptable quality and productivity measures as designated by the Technical Support department Manager.

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and are not a detailed description of all the work requirements that may be inherent to this position.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.

AultCare/AHF will provide reasonable accommodations to employees or applicants with disabilities, as defined by the Americans with Disabilities Act, who are otherwise qualified to safely perform the essential functions of the job, with or without accommodation, unless such accommodation would constitute an undue hardship on AultCare/AHF or poses a direct threat to the health and safety of the individual or others that cannot be sufficiently mitigated by reasonable accommodation. Any applicant or employee who requires accommodation to perform the essential functions of his or her job or to enjoy equal benefits and privileges of employment should notify the AultCare Human Resource Department and request such accommodation.

QUALIFICATIONS:

• Education: High School diploma or GED required
• Experience with Microsoft Office, including Word, Excel and Outlook Ability to type 40 wpm
• Detail Oriented
• Basic Analytical Skills
• Accurate and thorough record keeping
• Good Organizational skills
• Strong written and verbal communication skills
• Familiarity with Claims Administration software (QNXT) preferred
• Able to perform daily functions with minimal supervision
• Able to handle multiple tasks and work under pressure
• Able to meet required deadlines

WORKING CONDITIONS:

• Hours of operation, shifts as assigned. Occasional overtime, on-call, off-shifts (evenings and/or weekends) scheduled as necessary.
• Lunch and break periods must be coordinated with other staff members to maintain adequate office staffing during departmental operating hours.
• Sitting/standing/moving about intermittently during working hours.
• Subject to frequent interruptions and changes in priority of duties throughout the day.

Location: Aultman Health Foundation · AC ADM - TECH SERVICES Schedule: Full Time, Day Shift, 7:30am-4pm