Benefit Plan Build Specialist

🔥 0 minutes ago

🌵 Arizona, Florida, +11 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $64k - $77k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Leading Edge Administrators

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2010

⚕️ Healthcare Insurance

📋 Compliance

Healthcare Insurance • Compliance

Leading Edge Administrators is an independent third-party administrator specializing in healthcare services. The company is committed to improving the medical benefit landscape with innovative programs and strategies that enhance outcomes while reducing costs. LEA focuses on providing efficient, effective, and easy-to-implement health benefit solutions tailored to meet their clients' specific needs. Key services include self-funded health benefit plans, wage parity, and FlexCard benefits, aiming to achieve optimal results for employers, employees, and providers. With a mission centered around claims integrity, ACA compliance, and operational transparency, Leading Edge Administrators positions itself as a key player in the healthcare administration sector.

📋 Description

• Construct and implement new benefits plan in the benefits administration system • Maintain a comprehensive understanding of the plans under their scope of responsibility • Work with the Implementation Team to help onboard new clients • Design and implement system configuration in accordance to benefit plan description • Build new groups and adjust systems per plan amendments in benefits system • Research plan provisions contained in benefit plan documents • Convert plan provisions to claim system adjudication functions • Coordinate the development of solutions for system-related issues • Develop tools and best practices necessary to improve installations • Provide timely documentation to users to help them reference and implement system and/or plan changes

🎯 Requirements

• High school diploma or equivalent; Associates or Bachelors degree preferred • 3+ years of benefit plan build experience and/or recent Claims Examiner/Processor • Knowledge of benefit application and plan building for health plans required • Knowledge and experience in medical terminology including CPT, HCPCS, ICD 9/10 required • Javelina experience preferred • Solid working knowledge of standard computer applications including MS Word, Excel, Outlook and PowerPoint • Expert keyboard and navigation skills and learning new programs • Communicate clearly and professionally with internal and external customers • Work effectively as part of a team to achieve established outcomes • Demonstrate accuracy and thoroughness; monitor work to ensure quality.

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements • Professional development