This is a full-time, onsite position located at 400 S Woods Mill Rd, Chesterfield, MO
Responsibilities:
Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
Maintain compliance with patient assistance program guidelines
Document all information and data discovery according to operating procedures
Research required information using available resources
Maintain confidentiality of patient and proprietary information
Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
Requirements:
High school diploma or GED required, Bachelor's degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Strong technical aptitude and ability to learn complex new software
Hours/Location:
Shifts: This is a full-time, 40-hour per week role. 3 shift options are available :
Rotating shift between 8 AM - 8 PM CST, Monday - Friday OR
11 AM - 7 PM CST, Monday - Friday (fixed shift) OR
12 PM - 8 PM CST, Monday - Friday (fixed shift)
All shifts require one Saturday/month shift 8 AM - 4PM CST
There will be a required shift during the 8 week training period of 9 AM - 5 PM CST
Perks:
Medical, dental, and vision benefits Holiday pay, paid time off, paid sick time
Overtime eligible
Casual dress code
Free Snacks
Free Parking
$36k-52k yearly est. 2d ago
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Benefits Specialist
Jeppesen 4.8
Benefit specialist job in Maryland Heights, MO
Company:
Tapestry - G0G
Tapestry Solutions, A Boeing Company, brings over 30 years of industry experience designing, implementing, training, and supporting high-quality, cost-effective information technology and business intelligence solutions. With a dedicated team of approximately 500 professionals, we proudly serve 75 defense, commercial, and government clients across more than 50 U.S. locations and 9 countries worldwide.
As a trusted partner, our employees embody our core values by consistently delivering excellence, taking full ownership, and developing innovative solutions that enable critical missions and ensure the safety of our global customers and team members. Joining Tapestry Solutions means enjoying the best of both worlds: access to the vast resources of Boeing combined with the agility and people-focused, family-oriented culture of a small business where your contributions truly matter.
Tapestry Solutions, a part of Boeing Global Services (BGS), is seeking a BenefitsSpecialist in Maryland Heights, MO and/or Swansea, IL. The successful candidate will be the sole BenefitsSpecialist for an organization of close to 500 employees with domestic and some international benefits. The person will be responsible for the day to day administration of the programs as well as making recommendations around new benefit opportunities to consider.
Position Responsibilities:
Administers benefit programs
Provides employee support on benefit and leave related issues
Responsible for regular employee (and leadership) communication that help increase the utilization and overall value of our benefit offerings
Leads corporate communication efforts regarding employee health, well-being and connectedness
Maintains knowledge of compliance initiatives, trends, best practices, regulatory changes and new technologies in benefits including both domestic and international
Makes recommendations on designing and implementation of benefit plans, including costs
Works with insurance providers and vendors to resolve employee issues
Analyzes and reports on benefits data
Supports all benefits audit and compliance reporting
Perform other duties as assigned
Basic Qualifications (Required Skills/Experience):
Extensive knowledge of employee benefits and applicable laws
Excellent organizational skills and attention to detail
Excellent verbal and written communication skills
Excellent time management skills with a proven ability to meet deadlines
Strong analytical and problem-solving skills
Preferred Qualifications (Desired Skills/Experience):
Proficiency with Workday and ADP Workforce Now
Advanced proficiency with Excel
Drug Free Workplace:
We are a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.
Pay & Benefits:
We strive to deliver a total rewards package that will attract, engage and retain the top talent. Elements of this package include competitive base pay and variable compensation opportunities.
We also provide eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.
The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location and date of hire.
Pay is based upon candidate experience and qualifications, as well as market and business considerations.
Summary base pay range $68,000 - $84,000
Language Requirements:
Not Applicable
Education:
Not Applicable
Relocation:
Relocation assistance is not a negotiable benefit for this position.
Export Control Requirement:
This is not an Export Control position.
Safety Sensitive:
This is not a Safety Sensitive Position.
Security Clearance:
This position does not require a Security Clearance.
Visa Sponsorship:
Employer will not sponsor applicants for employment visa status.
Contingent Upon Award Program
This position is not contingent upon program award
Shift:
Shift 1 (United States of America)
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Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.
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$68k-84k yearly Auto-Apply 13d ago
Manager, Retirement Benefits
Anheuser-Busch 4.2
Benefit specialist job in Saint Louis, MO
Dreaming big is in our DNA. It's who we are as a company. It's our culture. It's our heritage. And more than ever, it's our future. A future where we're always looking forward. Always serving up new ways to meet life's moments. A future where we keep dreaming bigger. We look for people with passion, talent, and curiosity, and provide them with the teammates, resources and opportunities to unleash their full potential. The power we create together - when we combine your strengths with ours - is unstoppable. Are you ready to join a team that dreams as big as you do?
SALARY: $104,800-$117,900, bonus and long-term incentive eligible
COMPANY:
Michelob ULTRA. Cutwater Spirits. Budweiser. Kona Brewing Co. Stella Artois. Bud Light. That's right, over 100 of America's most loved brands, to be exact. But there's so much more to us than our top-notch portfolio of beers, seltzers, and more. We are powered by a 19,000-strong team that shares our passion to create a future with more cheers. We look for people with talent, curiosity, and commitment and provide the teammates, resources and opportunities to unleash their full potential. The power we create together - when we combine your strengths with ours - is unstoppable. Are you ready to join a team that dreams as big as you do?
ROLE SUMMARY:
Reporting to the Director of Retirement Plans, this position will develop into a subject matter expert in retirement plans, including defined benefit pensions and 401 (k) plans. This position will manage multiple retirement plans and vendors, while collaborating with internal and external stakeholders. We are looking for an individual with strong data analytics and a financial background who will help influence plan design and help to ensure plan compliance.
JOB RESPONSIBILITIES:
Serve as a subject matter expert for 401k and defined benefit pension plan administration.
Collaborate with external vendors to ensure appropriate plan administration and compliance.
Collaborate with the Labor Relations team to support collective bargaining of union pension benefits.
Manage the financial wellness program and collaborate with external vendors to develop annual financial wellness campaigns.
Ensure execution of required compliance activities and governmental filings, including working with internal and external auditors to ensure compliance and execution of appropriate control activities.
Build and maintain appropriate budget-tracking/reporting tools.
Serve as the escalation point of contact for retirement-related employee matters.
Serve as project lead or team member for complex retirement projects with internal and external resources.
Partner with Legal Counsel to stay informed on legislative changes impacting retirement and proactively manage processes and programs to remain compliant.
Participate in M&A activity to ensure proper alignment of retirement plans to the company's strategy and cost structure.
Assess strategy, design, and costs of retirement programs to ensure cost-effective and sustainable programs are in place.
Monitor and analyze trend information as well as economic data to ensure retirement program strategy is competitive, sustainable, and responsive to business needs.
JOB QUALIFICATIONS:
Actuarial, mathematics, statistics, finance, accounting or similar college degree.
At least 5 years of retirement plan management, administration, and/or consulting experience.
Ability to partner cross-functionally within the organization and externally with vendor partners effectively.
Experience with HR systems and advanced Excel skills.
High level of service mindset. Highly focused on results and providing a structured, systematic approach to delivering business solutions.
Understands financial aspects for retirement plans, including P&L and DBO impact, funding strategies, and working knowledge of pension de-risking initiatives. *
Must be a good problem solver, analytically oriented, and able to manage multiple tasks simultaneously.
Action-oriented and adept at working in a fast-paced, growing organization.
WHY ANHEUSER-BUSCH:
At Anheuser-Busch, our purpose is to create a future with more cheers. For more than 165 years, we have delivered a legacy of brewing great-tasting, high-quality beers that have satisfied beer drinkers for generations. 99 percent of the products we sell in the U.S are made in the U.S. with more than $700 million in high-quality ingredients sourced from American farmers and more than $7 billion in goods and services purchased from U.S. suppliers, and we have invested nearly $2 billion in our 100 facilities across the country over the past five years. Through these investments, and as a leading American manufacturer and the nation's top brewer, we drive economic prosperity nationwide through investments in our people, facilities, and communities. We are the only brewer that invests in the U.S. at this scale.
BENEFITS:
Health benefits including Medical, Dental, Vision, Wellness and Tax-Advantaged Savings and Spending Accounts
Life Insurance and Disability Income Protection
Generous Parental Leave and FMLA policies
401(k) Retirement Savings options with a company matching contribution
Chance to work in a fast-paced environment among a company of owners
Free Beer!
$104.8k-117.9k yearly Auto-Apply 2d ago
Benefits Specialist I
True Manufacturing 4.2
Benefit specialist job in OFallon, MO
The BenefitsSpecialist is responsible for assisting with the administration of all insurance, leave of absence, and workers' compensation programs including, but not limited to, medical, dental, vision, life insurance, short- and long-term disability, accident insurance, critical illness insurance, hospital indemnity insurance, and FMLA.
Responsibilities
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Assist team members with new hire enrollment, life changing events, open enrollment, leave of absence questions (including FMLA), benefits claim issues, and insurance questions via in person, phone calls, or emails.
Conduct new hire orientation.
Perform quality checks of benefits- and leave-related data.
Assist employees regarding benefits claim issues and plan changes.
Distribute all benefits enrollment materials and determine eligibility.
Enroll employees with carriers and process life status changes.
Respond to benefits inquiries from managers and employees on plan provisions, benefits enrollments, status changes and other inquiries.
Assist with planning and conducting wellness events.
Assist with reconciling monthly vendor billing with the appropriate allocations.
Provide phone support to HR department as needed.
Run standard reports and perform ad hoc reporting as requested.
Communicate with team members to provide guidance and direction on True's leave policies.
Communicate frequently with managers and supervisors to provide status updates on team members' leaves of absence.
Process multiple leave requests daily to ensuring adherence to all company policies as well as State and Federal laws.
Respond to calls from healthcare providers requesting clarification of certification requirements.
Maintain coding of timecards within the HRIS system.
Other duties as assigned.
Regular and reliable attendance is required.
Qualifications
High School diploma or general education degree (GED) required.
Bachelor's Degree with an emphasis in business, human resources or similar field or equivalent experience strongly preferred.
Two or more years related benefits experience required.
PHR, SPHR, SHRM CP preferred.
Knowledge of employee benefits and applicable laws.
Prior experience working with an HRIS required.
Online benefit enrollment experience required.
Experience with managing benefits within a payroll system preferred.
Demonstrated accuracy and productivity in a changing/fast paced environment with constant interruptions.
Professional, pleasant and positive demeanor with an emphasis on internal customer service and team work; proven ability to interact professionally with outside vendors.
Ability to handle challenging and stressful situations and respond appropriately with a diplomatic approach while proactively prioritizing multiple deadlines.
Demonstrated ability working with mathematical and basic accounting principles.
Ability to handle sensitive, confidential information and maintain confidentiality where necessary.
Proficient with Microsoft Office Suite or similar software.
Excellent verbal and written communication skills.
Excellent organizational and time management skills.
Comfortable presenting information to large groups.
We are proud to be an Equal Opportunity Employer.
Company-paid background check required upon hire.
$43k-53k yearly est. Auto-Apply 14d ago
Coordinator, Benefits Eligibility and Authorization
Cardinal Health 4.4
Benefit specialist job in Jefferson City, MO
**_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Authorization may be asked to perform other duties if necessary & must be knowledgeable of a variety of insurance plans and policies
**_Responsibilities_**
+ Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.
+ Communicate with patients, front end staff, physicians & payors as needed in order to obtain updated insurance and/or clinical information.
+ Submit authorizations for all internal and external orders including, but not limited to, radiation, chemotherapy, PET/CT, urology and scans.
+ Follow up within 48 hours on any existing authorizations that are pending approval.
+ Ensure proper documentation outlining all steps taken to ensure authorizations have been submitted, followed up on and obtained.
+ Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay.
+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care.
+ Complete any pre-service appeals to obtain paying approval based on medical necessity.
+ Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
+ Maintain a high level of confidentiality for patients in accordance with HIPAA standards.
+ Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary.
+ Effectively completes other duties and projects as assigned.
+ Regular attendance and punctuality.
+ Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
+ Effectively completes other duties and projects assigned.
**_Qualifications_**
+ 4-8 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Knowledge of medical terminology.
+ Familiar with Oncology, Urology, Chemotherapy and Radiation Billing preferred
+ Experience with computerized billing software and interpreting EOBs
+ Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding.
+ Experience with GE Centricity preferred
+ Knowledge of computer/telephony support, preferably in a healthcare environment preferred
+ Strong customer service background, preferably in a healthcare environment.
+ Excellent verbal communication skills.
+ Competence with computer processing functions and other standard office equipment.
+ Ability to manage and prioritize multiple tasks.
+ Ability to calmly and professionally resolve customer issues with diplomacy and tact.
+ Ability to work independently with minimal supervision.
+ Strong organizational skills.
+ Understanding of managed care contracts and fee schedules, including Medicare and Medicaid.
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks.
+ Works on routine assignments that require basic problem resolution.
+ Refers to policies and past practices for guidance.
+ Receives general direction on standard work; receives detailed instruction on new assignments.
+ Consults with supervisor or senior peers on complex and unusual problems.
**Anticipated hourly range:** $21.00 - $27.72
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/15/26 *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
BenefitsSpecialist
The BenefitsSpecialist performs the day-to-day administrative and compliance functions for the Company's benefits programs, including health and welfare and retirement plans, in compliance with ERISA, HIPAA, COBRA, and applicable Federal and/or State employment laws in the U.S. The role will also support the benefit programs in Canada.
Job Will Remain Open Until Filled
Responsibilities The Company is one of North America's leading sales and marketing agencies specializing in outsourced sales, merchandising, category management, and marketing services to manufacturers, suppliers, and producers of food products and consumer packaged goods. The Company services a variety of trade channels including grocery, mass merchandise, specialty, convenience, drug, dollar, club, hardware, consumer electronics, and home centers. We bridge the gap between manufacturers and retailers, providing consumers access to the best products available in the marketplace today. Essential Job Duties and Responsibilities • The BenefitsSpecialist administers and communicates the company's benefits regarding plan options, policy features, enrollment, and regulatory requirements.• Guides the Company's multi-state employees, acting as a liaison between benefit vendors and employees. Advises employees clearly and concisely on qualified life events, eligibility, coverage, open enrollment questions, and other benefits matters. • Supports HR and employees and/or dependents in resolving benefit inquiries timely.• Processes and audits employee benefit changes, carrier discrepancy reporting, and open enrollment data changes.• Provides payment reconciliations to AP.• Responsible for benefit updates for payroll, including benefits premium adjustments and corrections.• Completes documents including court orders, disability, and State forms. • Advises employees on required benefit premiums while on leave, tracks payments, and interfaces with payroll as needed.• Participates in testing the HRIS system during implementations and preparation for open enrollment.• Responsible for reviewing vendor error reports, researching, and identifying issues while partnering with the HRIS team on the resolution.• Documents and maintains administrative and compliance procedures for assigned benefits processes. Supervisory Responsibilities: Direct Reports- This position does not have supervisory responsibilities for direct reports Indirect Reports- Does not have direct reports, but may delegate work of others and provide guidance, direction and mentoring to indirect reports Travel and/or Driving Requirements: - Travel and Driving are not essential duties or functions of this job Minimum Qualifications:Education Level: (Preferred): Associate's Degree or equivalent job-related work experience Field of Study/Area of Experience: Human Resources Management or Business Administration - 3+ years of experience administering health and welfare benefit programs Skills, Knowledge, and Abilities
- Proficient in ERISA, DOL, IRS, COBRA, HIPAA, PPACA regulations
- Strong understanding of health, welfare, and retirement (401(k)) programs
- Exceptional attention to detail and time management skills
- Thrives in fast-paced, team-oriented environments
- Balances empathy with objectivity towards employees' personal circumstances
- Skillful interpersonal abilities coupled with the capacity to cultivate peer relationships
- Strategically plans and problem-solves to achieve results
- Clear, effective verbal and written communication of programs and policies
- Applies strong analytical, financial, and problem-solving skills
- Collaborative team player
- Proficient in Microsoft Office Suite; Excel, Word, and PowerPoint
- Experience with HR systems such as Oracle, PeopleSoft, or ADP
Environmental & Physical Requirements: Office / Sedentary Requirements:
Incumbent must be able to perform the essential functions of the job. Work is performed primarily in an office environment. Typically requires the ability to sit for extended periods (66%+ each day), the ability to hear the telephone, the ability to enter data on a computer, and may also require the ability to lift up to 10 pounds.
Additional Information Regarding Advantage Solutions Job Duties and s Job duties include additional responsibilities as assigned by one's supervisor or other manager related to the position/department. This job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.The Company reserves the right at any time with or without notice to alter or change job responsibilities, reassign or transfer job positions, or assign additional job responsibilities, subject to applicable law. The Company shall provide reasonable accommodations of known disabilities to enable a qualified applicant or employee to apply for employment, perform the essential functions of the job, or enjoy the benefits and privileges of employment as required by the law.Important Information
The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of associates so classified.
The Company is committed to providing equal opportunity in all employment practices without regard to age, race, color, national origin, sex, sexual orientation, religion, physical or mental disability, or any other category protected by law. As part of this commitment, the Company shall provide reasonable accommodations of known disabilities to enable an applicant or employee to apply for employment, perform the essential functions of the job, or enjoy the benefits and privileges of employment as required by the law. and compliance procedures for assigned benefits processes.
$38k-54k yearly est. Auto-Apply 28d ago
Benefits Specialist - In Office
The Nuckolls Agency
Benefit specialist job in Noel, MO
Crafting Brighter Futures for Businesses & Families across the US
At the forefront of specialized financial services, we help families safeguard their assets and promise a profound purpose: ensuring a brighter future for every client.
As a Benefits Representative, you play a pivotal role in helping families protect their assets and secure their futures. You'll be the face of our company, embodying our values and commitment.
Primary Responsibilities:
Engage with clients to understand their financial goals and concerns.
Present tailored solutions to safeguard their assets effectively.
Maintain a pulse on the industry, ensuring you offer the best and most updated advice.
Foster relationships and ensure our clients always have someone they can turn to.
Why Work With Us?
Flexible Scheduling: Enjoy the benefits of a full-time role that has flexible hours.
Unlimited Earning Potential: Your dedication determines your earnings*.
Company Culture: At our company people are ambitious but respectful, high-energy, and treat every member like family. We do (optional) company outings frequently!
Grow with Us: Dive into continuous learning and development opportunities.
Application Process:
Submit Your Application: No stringent qualifications needed. We believe in potential.
Virtual Company Overview: Once your application is in, you'll receive an invite to a virtual overview, detailing everything you need to know about the position. This session lasts 20-30 minutes, and you can self-schedule at your convenience, often on the same day.
Interact with Us: During the overview, you'll have the chance to chat with our team members and ask any questions.
FAQs:
When will I hear back after applying? Typically, within 24 hours.
Is there any specific software I need for the virtual overview? No, our platform is accessible through any standard web browser. Details will be provided in the invitation.
What's the growth trajectory for a Benefits Representative? Our focus is on continuous learning and development. Many of our reps have seen exponential career growth within our organization.
* This is a commission only role with average earnings of $65,000+ in the first year and uncapped room for rapid growth based on performance.
State and federal laws require licensing to sell certain insurance products. Ability to obtain a license is required.
$65k yearly 1d ago
Assistant Coordinator of Personnel Benefits
Jackson R-2 School District
Benefit specialist job in Jackson, MO
SUMMARY: Assists the Coordinator of Personnel Benefits in managing the employee benefit programs for the District by performing the following duties personnal or through designees.
ESSENTIAL DUTIES and RESPONSIBILITIES:
Other duties may be assigned.
Helps to implement and administer employee benefits programs for the school district.
Coordinate payroll set-up and payment authorizations for all payroll deduction plans, including employee-paid annuities, salary allotments, and Flexible Spending programs.
Coordinate payroll set-up and payment authorizations for both teacher and non-teacher retirement programs.
Participates in employee relations functions as it relates to employee benefits.
Coordinate new employee and terminating employee information regarding payroll/plans/benefits issues.
Acts as a troubleshooter and liaison between the school district and benefits plan companies.
Assist in analyzing existing benefits policies of the District, and prevailing practices among similar organizations, to establish competitive benefits programs.
Maintains and administers COBRA, A.D.A., and FMLA compliance.
Prepares and maintains records and other duties related to the administration of unemployment compensation claims and benefits, and also represents the district at hearings.
Prepares and submits required reports to District officials, companies, state, and national regulatory bodies.
Oversees Workers' Compensation Program Claims reporting functions.
Prepares, collects, and compiles statistical and other pertinent benefits data for effective planning.
Coordinate and process the student insurance programs, both sports and general student plans.
Serve as ex officio member of the District Insurance Committee.
Assists the Coordinator of Personnel Benefits as needed and assists in the administrative office as needed.
EDUCATION and/or EXPERIENCE:
High school graduate or equivalent plus 5 years related experience and/or training.
Salary: Commensurate with experience and qualifications
$36k-52k yearly est. 6d ago
Benefits Consultant (MO)
Angle Health
Benefit specialist job in Missouri
Changing Healthcare For Good At Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate. As an AI-native, integrated healthcare company, we are replacing legacy systems with modern infrastructure to deliver members and patients the care they need when they need it. If you want to build the future of healthcare, we'd love for you to join us.
Current healthcare solutions for employers are limited, low-tech, and difficult to administer. Angle Health's products are built for the modern employer, saving them time, helping to keep their employees healthy, and enabling everyone to spend more time doing the things that matter-creating value and building the company-and less time trying to figure out health insurance.
Our Sales Team is responsible for bringing Angle Health Plans to every business, employee, and person in the country. As a Consultant for Angle Health, you will develop and build relationships with potential customers and clients through a variety of channels. As the first line of communication with prospects, you have a strong understanding of the sales process or a strong desire to learn and exceed in sales. You are a quick learner with strong communication skills, someone who easily picks up and loves to share new technology, and you thrive off meeting and learning about others. Every connection is an opportunity for you to drive revenue growth, and customer acquisition, and directly impact the success of our company.
The ideal candidates for this role will be eager, ambitious, competitive, and driven to start a rewarding career. Sales experience is not a requirement if you are a highly motivated individual with a desire to learn and succeed. This position will require around 50% travel to meet with customers and potential customers within your assigned market.
We expect this person to be based in Missouri, with a preference for candidates in St. Louis or Kansas City.
Core Responsibilities
* Proactively engage with potential customers within your market to increase top-of-funnel candidates
* Develop and maintain deep knowledge about Angle Health's products and platform, those of our competitors, and the healthcare and health insurance industry
* Communicate Angle's offerings clearly and compelling through language and live demos, and identify how our solutions meet prospective customers' needs
* Maintain positive and constant communication with clients to ensure client satisfaction
* Must be willing to travel to meet with clients, however, some office time is required to meet successful goals
* Coordinate and actively shepherd groups through the sales cycle, including proposals, underwriting, contract negotiations, and finalized policies
* Work with your manager for ongoing training opportunities
* Assist in coordinating events or attending events within the insurance space to broaden top-of-funnel opportunities and Angle Health's market exposure
* Engage with the insurance community to increase customer referrals and testimonials, and decrease customer churn rates
* Collaborate with our internal teams to successfully drive sales and close new business
* Continuously improve upon and exceed sales quotas
What We Value
* Licensed Accident/Health Producer in good standing with home state within 90 days of hire
* Highly organized, motivated, outcome-oriented, and target-driven
* Strong interpersonal and communication skills
* Ability to clearly and concisely articulate key value propositions and quickly build trust
* Entrepreneurial, self-directed, and excited to build something from scratch
* Ability to work autonomously
* Driven to exceed expectations
* A passion for bringing best-in-class products to solve problems for and satisfy customers
Bonus Points
* 1-2 years of experience in insurance, payroll, or a related field of sales
* Knowledge and experience with sales operations tools including LinkedIn Sales Navigator, CRM Tools, and basic automation tools
* Bachelor's Degree
The pay range for this job opportunity is $150,000 to $300,000 OTE + benefits, which is the amount Angle Health anticipates paying for this position at the time of this job posting. The actual base salary offered may differ and will depend on various factors such as geographic location, skills, qualifications, and experience.
Because We Value You:
* Competitive compensation
* 100% company-paid comprehensive health, vision & dental insurance for you and your dependents
* Supplemental Life, AD&D and Short-Term Disability coverage options
* Discretionary time off
* Opportunity for rapid career progression
* 3 months of paid parental leave and flexible return to work policy (after 12 months of employment)
* Work-from-home stipend for remote employees
* 401(k) account
* Other benefits are coming soon!
About Us
Backed by a team of world class investors, we are a healthcare startup on a mission to make our health system more effective, accessible, and affordable to everyone. From running large hospitals and health plans to serving on federal healthcare advisory boards to solving the world's hardest problems at Palantir, our team has done it all. As part of this core group at Angle Health, you will have the right balance of support and autonomy to grow both personally and professionally and the opportunity to own large parts of the business and scale with the company.
Angle Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Angle Health is committed to working with and providing reasonable accommodations to applicants with physical and mental disabilities.
️ A Note on Recruiting Outreach
We've been made aware of individuals falsely claiming to represent Angle Health using lookalike email addresses (****************************). Please note that all legitimate emails from our team come *********************. We will never ask for sensitive information or conduct interviews via messaging apps.
$63k-104k yearly est. Easy Apply 21d ago
Client Benefits Coordinator - Medical (33592)
Emmaus 3.6
Benefit specialist job in Saint Charles, MO
The Client Benefits Coordinator is responsible for managing and coordinating benefits related to Medicaid, Medicare, and other insurance programs. The coordinator will serve as a liaison between clients, Client Services, Health Services, medical providers, and other funding sources. This role ensures accurate processing of medical claims and payments, pharmacy benefits, specialized medical equipment (SME), and medical supply purchasing. All employees are expected to advocate for the best interest of Emmaus clients and demonstrate Emmaus Core Values in all aspects of their job.
Emmaus Core Values
Core Values: Customer Centered, Integrity, Initiative, and Collaboration.
All employees are expected to advocate for the best interest of Emmaus clients and demonstrate Emmaus' Core Values in all aspects of their job.
Key Responsibilities
Coordinate Medicaid and Medicare benefits for eligible clients.
Supply necessary medical information to insurance companies, the Department of Social Services, the Social Security Administration, and the Department of Mental Health.
Monitor insurance claims related to pharmacy, medical services, and equipment.
Verify medical claims, including physician and pharmacy bills, to confirm services received.
Resolve discrepancies in billing, coverage, or claims with providers.
Process medical payments through bill pay system.
Oversee client pharmacy benefit plans, supporting clients with selecting affordable plans that ensure they receive the necessary medications.
Collaborate with Health Services and Client Services to facilitate the coordination of insurance claims, advocate for cost-effective solutions, and ensure comprehensive coverage.
Assist Client Services in helping obtain client medical equipment and supplies through insurance (hospital beds, wheel chairs, other assistive devices).
Support audits and surveys by preparing required documentation and reports.
Qualifications
Standard - Demands of the Job
Able to perform functions described in the key responsibilities.
Able to assist with lifting, transferring or moving up to 25 pounds.
Hybrid position, requiring flexibility based on need.
Proficient writing, speaking and communications in English.
Able to effectively present information and respond to questions from groups of coworkers, clients, and family/guardians.
Establish and uphold an organizational system that promotes efficiency and effectiveness.
Able to interpret a variety of instructions in written, oral, diagram or schedule form.
Able to perform basic accounting functions.
Job Requirements/Desired Education and/or Experience
High School Diploma or equivalent required.
2 plus years of administrative experience required.
Intermediate knowledge of MS365 required (i.e. Word, Excel, Outlook).
Strong communication, organizational, and interpersonal skills required.
Strong math and analytical skills required.
Preferred experience interacting with agencies such as the Department of Social Services, Medicaid, Medicare, or the Social Security Administration.
Preferred experience in reviewing and analyzing medical claim data and related documentation.
Emmaus Homes provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
$31k-37k yearly est. 10d ago
Employee Benefits Internal Specialist
Sun Life Financial 4.6
Benefit specialist job in Kansas City, MO
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
Job Description:
The opportunity: The Employee Benefits Internal Specialist, Group Underwriting position supports the Sales Representative with all aspects of the Request for Proposal (RFP) process through to sold case. This position provides key support to assigned Employee Benefit Representatives (EBR)/Small Business Sales Specialists (SBSS) within their team by generating timely and quality proposals, efficient discounting discussions and decisions with UW on the EBR/SBSS behalf and sold case processing. The position will also work closely with the EBIS and Underwriting, as well as Implementation.
How you will contribute:
* Review and evaluate RFP for all Sun Life Group Insurance Products. Examine all documentation supplied with RFP to decide what proposal(s) and/ or potential variations to provide. Documentation may include prior carrier certificates, contracts, prior plan rates, census files, prior claims experience, sales rep preferences, broker special arrangements.
* Manipulate census data provided, to properly analyze the specific risk for each client.
* Configure system with all relevant data, plan design(s) and census data, and calculate manual rates.
* Perform rate analysis and rate adjustments within authority leveraging Manual Pricing Tool (MPT) and generate formal proposals with resulting rates.
* Support discounting discussions and approval with Sales Rep and UW when outside of authority limits.
* Process Sold Cases, including License and Appointment verification, marking cases sold in our administrative system, and setting up benefit enrollments utilizing our Case Manager system.
* Ordering of benchmarking reports (BPTs), Disruption reports and Netminders and order print materials through ePrint.
* Build strong relationship with EBRs through collaboration and communication on a daily basis.
* Assist and order gifts and giveaways through our fulfillment partners.
* Recognize and identify continuous improvements for the role and our team.
* Attend strategy calls for large-case (over 500 lives) groups.
* Conduct daily team huddles with learning opportunities.
*
What you will bring with you:
* Ability to work with a diverse range of people
* Employee Benefits or Group Benefits products knowledge
* Bachelor's degree or equivalent year of experience preferred
* Knowledge of insurance products and systems a strong plus
* Ability to develop and maintain effective, professional business relationships across all levels of the organization
* Demonstrate a responsive, service oriented professional approach in all interactions
* Ability to think creatively and use professional judgment to resolve non-routine quoting issues
* Organizational skills to approach work in an organized fashion and to effectively follow-up on outstanding details
* Strong customer service skills, displaying flexibility and adaptability
* Strong written and verbal communication skills and experience
* Strong decision making and problem solving skills and experience with attention to detail
* Demonstrate ability to work independently and effectively in a multi-site organization, with minimal supervision
* Demonstrated ability to establish and maintain excellent team-oriented interpersonal working relationships
* Demonstrated ability to work in a fast-paced, deadline oriented environment with multiple priorities and established performance standards
* Proficiency in Microsoft Office with strong technical knowledge of Excel
Salary Range: $60,200 - $90,300
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.
Life is brighter when you work at Sun Life
At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Category:
Underwriting - Group
Posting End Date:
11/03/2026
$60.2k-90.3k yearly Auto-Apply 9d ago
Payroll & Benefits Administrator
Central States Water Resources
Benefit specialist job in Missouri
Payroll and Benefits Administrator Are you the kind of person who finds processing payroll and administering benefits more satisfying than a morning coffee? Do you navigate Paycor with such grace that coworkers suspect you actually built the software? If you have 5+ years of experience juggling payroll for multiple entities without breaking a sweat, we want you to on our team! What You'll Be Doing (The Fun Stuff):
Paycor Power-User: You'll be our resident expert, utilizing Paycor to its fullest potential-from complex payroll runs to seamless benefits integration.
The Multi-Entity Juggler: Managing payroll and benefits for multiple entities, ensuring everyone across our various branches is paid accurately and on time.
Benefits Guru: Handling open enrollments, 401(k) "catchups," and ensuring our team's perks are as smooth as silk
Discrepancy Detective: Identifying and solving problems employees didn't even know they had
Compliance Savant: Juggling the multitude of annual compliance deadlines that the HR team must face with a smile on yours
(The Must-Haves):
The Magic Number: At least 5 years of hardcore experience in payroll and benefits administration.
Paycor Proficiency: You don't just
use
Paycor; you master it. Experience with multi-state and multi-entity processing is non-negotiable.
Audit-Ready Brain: A solid understanding of compliance regulations and a knack for keeping records so clean they sparkle.
Communication Skills: The ability to explain complex benefit plans to humans who aren't as payroll-savvy as you are.
Why Join Us?
No More Paper: We're all about efficiency and digital-first processes-help us keep it that way.
Impact: You aren't just a number; you're the person who ensures everyone else
gets
theirs.
The Best in Class Perks: Competitive salary, comprehensive medical/dental/vision, and a 401(k) plan you'll actually enjoy administering. Unlimited paid time off, 15 holidays, company paid life, std, and ltd. And… you get to work with really cool people.
$37k-51k yearly est. 6d ago
Disability Benefits Specialist
Chariton Valley Association 2.7
Benefit specialist job in Sedalia, MO
Full Time Sedalia, MO Pettis/Benton County The Center for Human Services (CHS) has provided exceptional opportunities for individuals with intellectual and developmental disabilities since 1955. Currently, CHS provides programs and services to assist individuals with disabilities, low-income, at-risk children, and their families to meet their goals and experience their best lives while living, working, playing, and becoming a part of their communities. As an organization, we are leaders in excellence, we have a steadfast commitment to solutions, we respect all differences, abilities, and similarities in our employees and clients, and we advocate autonomy!
POSITION SUMMARY
The Disability BenefitsSpecialist supports the Center for Human Services (CHS) mission by providing accurate, person-centered benefits planning services to individuals with disabilities pursuing competitive, integrated employment. This position serves as a key resource for navigating public benefits, work incentives, and the relationship between employment and long-term supports. The Specialist analyzes benefits, assists with work incentives and benefit applications, supports staff and external partners, and ensures individuals have the knowledge and tools to make informed employment decisions.
ESSENTIAL DUTIES AND RESPONSIBILITIES
As a Disability BenefitsSpecialist, you will:
* Conduct individualized benefits planning by meeting with individuals referred to Employment Services to gather benefit information, clarify employment goals, and complete a comprehensive intake. Analyze the impact of employment on benefits including SSDI, SSI, Medicaid, Medicare, HUD, SNAP, and VA benefits. Create individualized Benefits Summaries and Benefits Management Plans.
* Provide expert consultation and support by supporting informed decision-making through explanation of available work incentives and eligibility programs such as 1619(b), Ticket to Work Health Assurance, and Medicaid Spend Down. Assist individuals in submitting necessary documentation, understanding reporting requirements, and implementing strategies to maintain essential benefits while working.
* Assist with benefit applications and appeals by supporting individuals in completing initial and renewal applications for benefits such as SSDI, SSI, Medicaid, and housing assistance, and providing guidance during appeals, re-determinations, or grievance processes as needed.
* Provide outreach and education by delivering trainings or informational sessions to individuals, families, support teams, or staff regarding public benefits, work incentives, reporting responsibilities, and navigating system changes.
* Ensure accurate documentation and compliance by maintaining timely and accurate entries in SetWorks and other systems in alignment with CHS, DMH, VR, and SSA expectations. Submit completed Benefit Summaries and Plans to the Director for review and follow department guidelines for documentation and file management.
* Support team collaboration by serving as the department's primary contact for benefits-related inquiries by guardians, support staff, and funders, and by providing technical assistance to staff. Participate in meetings and staffing as requested to provide benefits insight and promote coordinated, person-centered planning.
* Engage in ongoing learning and development by staying up to date on federal, state, and local policy changes related to benefits and employment. Complete required trainings, maintain certifications, and participate in department or external learning opportunities as assigned.
SKILLS AND ABILITIES
* Ability to interpret and explain complex policies
* Ability to navigate SSA, Medicaid, and state benefit systems
* Accurate and timely electronic documentation
* Effective time management and task prioritization
* Experience with benefits-related applications, renewals, and forms
* Proficient in SetWorks, Microsoft Outlook, Teams, and OneDrive
* Strong attention to detail and record-keeping accuracy
* Strong written and verbal communication
COMPETENCIES
* Adaptability and responsiveness to change
* Commitment to person-centered practices
* Communication and interpersonal collaboration
* Continuous learning and professional growth
* Ethical decision-making and confidentiality
* Initiative and independent problem-solving
* Professionalism and accountability
* Respect for cultural and individual diversity
QUALIFICATIONS
REQUIRED EDUCATION AND EXPERIENCE
* Bachelor's degree required (Human Services, Social Work, Counseling, or related field) Excel skills include the ability to combine and manipulate sets of data.
* Minimum 2 years of experience in benefits counseling, case management, advocacy, or system navigation
* Familiarity with SSA, Medicaid, and housing subsidy programs preferred
* Experience with DMH, VR, or employment services strongly preferred
Must possess or obtain upon hire:
* CPR and First Aid certification within 30 days of hire
* Completion of a certified benefits planning course or curriculum within the first year of employment
* CESP certification required after one year in the position
* Valid driver's license and current vehicle insurance
* Reliable transportation and communication access
SHIFTS: FT (40 hrs.) Mon-Fri: 8am-5pm
BENEFITS: CHS offers best-in-industry benefits. Click here to view our Benefits guide for more details
EEO STATEMENT
Center for Human Services/Chariton Valley Association provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This statement applies throughout the life cycle of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
If you are unable to submit your application because of incompatible assistive technology or a disability, please contact us at ************ or ************ ask for HR.
$29k-35k yearly est. 16d ago
Benefits Consultant
Interview Hunters
Benefit specialist job in Springfield, MO
We are looking for a representative to join our team. This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the client by creating a positive working relationship. The manager is responsible for addressing client issues and responding to questions.
The ideal candidate comes with experience in and developing new business opportunities among both existing and new customers. Excellent cross-functional experience working with customer service and product development to improve the entire customer experience is a critical factor in this role.
Responsibilities:
Oversee customer account management - Includes developing new business along with negotiating contracts and agreements to maximize profits.
Collaborate cross-functionally - Work closely with the sales team to achieve quotas while keeping clients satisfied and engaged with products and services.
Ensure delivery to customers - Facilitate the timely and successful delivery of solutions according to customer needs and objectives.
Requirements:
Sales or related field
Strong verbal and written communications skills
Excellent listening, negotiation, and presentation abilities
Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail
Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level
Our employees enjoy a work culture that promotes hard work, dedication, working well with those around you, and work diligently to addressing problems with costumers.
Employees can also take advantage of Generous Compensation Program, Weekly Performance Bonus, and Leadership Development Programs to Take Your Career to the Next Level
$63k-106k yearly est. Auto-Apply 60d+ ago
Benefits after 30 days 4-23
H&H Recruiting
Benefit specialist job in Saint Louis, MO
Job Description
We are looking for new graduates and experienced Class A CDL Drivers in the St. Louis, MO area for a regional lane. Drivers home every two weeks, hauling no-touch dry vans.
Drivers on these accounts can earn up to $1300 weekly and are eligible for benefits after 30 days.
Requirements
*Must be 21 years or older
*Valid Class A CDL
*New Grads Welcome! (We will train)
Pay & Benefits
*1300 average weekly
*Driver Performance Bonus
*No-touch freight
*Medical, Dental & Vision coverage
*401K
*Paid time off
*Home every two weeks
Call or text Kristen at (803)480-6215 or email mccullkf@gmail.com to inquire.
Job Posted by ApplicantPro
$1.3k weekly 2d ago
Benefit Advisor/Medicare Sales Representative
Provider Partners Health Plan
Benefit specialist job in Springfield, MO
The Benefit Advisor is primarily responsible for presenting the Provider Partners Health Plan to long-term care residents, their families and / or legal representatives who have requested information from PPHP with the goal of enrolling members in the plan who are best served by the plan product offering. In addition, the Benefit Advisor is also responsible to support the Partner Development Representative to educate long term care facilities about the PPHP ISNP product to generate enrollment leads and referrals.
Key Responsibilities:
Work under the direction of the Director of Partner Development to drive and achieve sales goals by leading or advancing the sales cycle
Contribute to the development of a viable sales plan for the assigned territory
Serve as a subject matter expert of the PPHP plans while maintaining all current product certifications and appropriate licensure
Serve as a liaison for the Health Plan in a designated territory via (group) or individual education opportunities
Develop new forums to educate eligible consumers about the PPHP plan
Conduct presentations, sales activities and other informational events in accordance with current approved communication and marketing programs and state/federal regulations
Participate in planning and implementation of outreach strategies and programs in conjunction with clinical and Provider Relations staff
Travel throughout assigned territory to provide education about PPHP to promote enrollment
Responsible for member enrollment and achieving a defined minimum number of monthly new member enrollment through solid execution of the following:
Lead Generation and lead management
Presentation of the PPHP program
Overcoming sales objections
Facilitating completion of enrollment application
Ensuring member enrollment is completed
Execute basic administrative duties as defined by the Sales Lead, including detailed management of appropriate reporting / database systems, funnel management, customer information, territory planning, etc.
Maintain a working knowledge of plan benefit, program changes and industry insights
Ensure compliance and quality of sales process components, adhering to all applicable state and federal regulatory requirements and PPHP policies and procedures
Qualifications:
Required Qualifications:
State health insurance license
2+ years sales experience or equivalent work experience
Experience creating, facilitating and presenting to a variety of stakeholders in-person, conference calls, WebEx, etc.
Ability to work some occasional evenings/weekends
Reliable, insured transportation and a valid driver's license
Computer skills: Windows-based applications and lead management software
Ability to work as a telecommuter
Ability to travel throughout the designated local territory
Preferred Qualifications
2+ years successful sales and marketing experience in healthcare or health insurance, preferably with seniors
Ability to communicate complex healthcare information to potential clients
Ability to develop and manage relationships to reach business goals
Ability to be compassionate while selling
Function independently and responsibly with minimal need for supervision
Ability to manage multiple priorities including visiting nursing homes on a regular basis and following up on leads in a timely fashion
Ability to track a schedule to keep appointments on time and information pertaining to those appointments in order
Previous experience selling Medicare products
Understanding of the nursing home environment
$39k-72k yearly est. 8d ago
Coordinator, Benefits Eligibility and Prior Authorization
Cardinal Health 4.4
Benefit specialist job in Jefferson City, MO
**_About Navista_** We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth-while maintaining their independence.
**_What Revenue Cycle Management (RCM) contributes to Cardinal Health_**
Practice Operations Management oversees the business and administrative operations of medical practices.
**_Job Purpose:_**
Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.
This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Prior Authorization may be asked to perform other duties if necessary and must be knowledgeable in a variety of Insurance Plans and Procedures.
**_Responsibilities:_**
+ Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.
+ Communicate with patients, front end staff, physicians & payors as needed to obtain updated insurance and/or clinical information.
+ Submit authorizations for all internal and external orders including but not limited to radiation, chemotherapy, PET/CT, urology and scans.
+ Follow up within 48 hours on any existing authorizations that are pending approval.
+ Ensure proper documentation outlining all steps taken to ensure authorization have been submitted, followed up on and obtained.
+ Upon approval, enter all authorization information into the billing system and attach confirmation into the EMR.
+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care.
+ Complete any pre-service appeals to obtain paying approval based on medical necessity.
+ Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
+ Maintain a high level of confidentiality for patients in accordance with HIPAA standards.
+ Utilize CPT coding, ICD-10 coding knowledge to accurately document procedures and diagnoses.
+ Coordinate with clinical staff to ensure patients are contracted prior to appointments informing them of any treatment schedule changes.
+ Effectively complete other duties and projects assigned.
+ Stay up to date on insurance policies, managed care guidelines and relevant healthcare regulations affecting authorization processes.
+ Regular attendance and punctuality.
+ Execute all functions of the role with positivity and team effort.
Qualifications:
+ High School Diploma or equivalent preferred.
+ 2-3 years of prior authorization experience preferred.
+ Experience with payor websites and authorization requirements.
+ Strong customer service background, preferably in health care environment.
+ Excellent verbal communication skills.
+ Competence with computer processing functions and other standard office equipment.
+ Ability to manage multiple priorities and prioritize multiple tasks in a fast-paced environment.
+ Ability to work independently with minimal supervision.
+ Strong organizational skills.
+ Knowledge of medical terminology.
+ Familiar with Urology, Chemotherapy and Radiation Billing.
+ Experience with computerized billing software and interpreting EOBs.
+ Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding.
+ Experience with GE Centricity. Preferred experience in Oncology billing preferred.
+ Knowledge of computer/telephony support, preferably in a healthcare environment.
+ Strong customer service background, preferably in a healthcare environment.
+ Excellent verbal communication skills.
+ Competence with computer processing functions and other standard office equipment.
+ Ability to manage and prioritize multiple tasks.
+ Ability to calmly and professionally resolve customer issues with diplomacy and tact.
+ Ability to work independently with minimal supervision.
+ Strong organizational skills.
+ Understanding of managed care contracts and fee schedules, including Medicare and Medicaid.
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks.
+ Works on routine assignments that require basic problem resolution.
+ Refers to policies and past practices for guidance.
+ Receives general direction on standard work; receives detailed instruction on new assignments.
+ Consults with supervisor or senior peers on complex and unusual problems.
**Anticipated hourly range:** $21.00 - $26.45
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close: 2/15/16** *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$21-26.5 hourly 5d ago
Payroll & Benefits Administrator
Central States Water Resources
Benefit specialist job in Saint Louis, MO
Payroll and Benefits Administrator Are you the kind of person who finds processing payroll and administering benefits more satisfying than a morning coffee? Do you navigate Paycor with such grace that coworkers suspect you actually built the software? If you have 5+ years of experience juggling payroll for multiple entities without breaking a sweat, we want you to on our team! What Youll Be Doing (The Fun Stuff):
Paycor Power-User: Youll be our resident expert, utilizing Paycor to its fullest potentialfrom complex payroll runs to seamless benefits integration.
The Multi-Entity Juggler: Managing payroll and benefits for multiple entities, ensuring everyone across our various branches is paid accurately and on time.
Benefits Guru: Handling open enrollments, 401(k) "catchups," and ensuring our team's perks are as smooth as silk
Discrepancy Detective: Identifying and solving problems employees didn't even know they had
Compliance Savant: Juggling the multitude of annual compliance deadlines that the HR team must face with a smile on yours
(The Must-Haves):
The Magic Number: At least 5 years of hardcore experience in payroll and benefits administration.
Paycor Proficiency: You dont just
use
Paycor; you master it. Experience with multi-state and multi-entity processing is non-negotiable.
Audit-Ready Brain: A solid understanding of compliance regulations and a knack for keeping records so clean they sparkle.
Communication Skills: The ability to explain complex benefit plans to humans who aren't as payroll-savvy as you are.
Why Join Us?
No More Paper: Were all about efficiency and digital-first processeshelp us keep it that way.
Impact: You aren't just a number; youre the person who ensures everyone else
gets
theirs.
The Best in Class Perks: Competitive salary, comprehensive medical/dental/vision, and a 401(k) plan youll actually enjoy administering. Unlimited paid time off, 15 holidays, company paid life, std, and ltd. And you get to work with really cool people.
PI2f0846fc2b04-31181-39449241
$37k-51k yearly est. 8d ago
Benefits Consultant (MO)
Angle Health
Benefit specialist job in Saint Louis, MO
Changing Healthcare For Good
At Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate. As an AI-native, integrated healthcare company, we are replacing legacy systems with modern infrastructure to deliver members and patients the care they need when they need it. If you want to build the future of healthcare, we'd love for you to join us.
Current healthcare solutions for employers are limited, low-tech, and difficult to administer. Angle Health's products are built for the modern employer, saving them time, helping to keep their employees healthy, and enabling everyone to spend more time doing the things that matter-creating value and building the company-and less time trying to figure out health insurance.
Our Sales Team is responsible for bringing Angle Health Plans to every business, employee, and person in the country. As a Consultant for Angle Health, you will develop and build relationships with potential customers and clients through a variety of channels. As the first line of communication with prospects, you have a strong understanding of the sales process or a strong desire to learn and exceed in sales. You are a quick learner with strong communication skills, someone who easily picks up and loves to share new technology, and you thrive off meeting and learning about others. Every connection is an opportunity for you to drive revenue growth, and customer acquisition, and directly impact the success of our company.
The ideal candidates for this role will be eager, ambitious, competitive, and driven to start a rewarding career. Sales experience is not a requirement if you are a highly motivated individual with a desire to learn and succeed. This position will require around 50% travel to meet with customers and potential customers within your assigned market.
We expect this person to be based in Missouri, with a preference for candidates in St. Louis or Kansas City.
Core Responsibilities
Proactively engage with potential customers within your market to increase top-of-funnel candidates
Develop and maintain deep knowledge about Angle Health's products and platform, those of our competitors, and the healthcare and health insurance industry
Communicate Angle's offerings clearly and compelling through language and live demos, and identify how our solutions meet prospective customers' needs
Maintain positive and constant communication with clients to ensure client satisfaction
Must be willing to travel to meet with clients, however, some office time is required to meet successful goals
Coordinate and actively shepherd groups through the sales cycle, including proposals, underwriting, contract negotiations, and finalized policies
Work with your manager for ongoing training opportunities
Assist in coordinating events or attending events within the insurance space to broaden top-of-funnel opportunities and Angle Health's market exposure
Engage with the insurance community to increase customer referrals and testimonials, and decrease customer churn rates
Collaborate with our internal teams to successfully drive sales and close new business
Continuously improve upon and exceed sales quotas
What We Value
Licensed Accident/Health Producer in good standing with home state within 90 days of hire
Highly organized, motivated, outcome-oriented, and target-driven
Strong interpersonal and communication skills
Ability to clearly and concisely articulate key value propositions and quickly build trust
Entrepreneurial, self-directed, and excited to build something from scratch
Ability to work autonomously
Driven to exceed expectations
A passion for bringing best-in-class products to solve problems for and satisfy customers
Bonus Points
1-2 years of experience in insurance, payroll, or a related field of sales
Knowledge and experience with sales operations tools including LinkedIn Sales Navigator, CRM Tools, and basic automation tools
Bachelor's Degree
The pay range for this job opportunity is $150,000 to $300,000 OTE + benefits, which is the amount Angle Health anticipates paying for this position at the time of this job posting. The actual base salary offered may differ and will depend on various factors such as geographic location, skills, qualifications, and experience.
Because We Value You:
• Competitive compensation
• 100% company-paid comprehensive health, vision & dental insurance for you and your dependents
• Supplemental Life, AD&D and Short-Term Disability coverage options
• Discretionary time off
• Opportunity for rapid career progression
• 3 months of paid parental leave and flexible return to work policy (after 12 months of employment)
• Work-from-home stipend for remote employees
• 401(k) account
• Other benefits are coming soon!
About Us
Backed by a team of world class investors, we are a healthcare startup on a mission to make our health system more effective, accessible, and affordable to everyone. From running large hospitals and health plans to serving on federal healthcare advisory boards to solving the world's hardest problems at Palantir, our team has done it all. As part of this core group at Angle Health, you will have the right balance of support and autonomy to grow both personally and professionally and the opportunity to own large parts of the business and scale with the company.
Angle Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Angle Health is committed to working with and providing reasonable accommodations to applicants with physical and mental disabilities.
⚠️ A Note on Recruiting Outreach
We've been made aware of individuals falsely claiming to represent Angle Health using lookalike email addresses (****************************). Please note that all legitimate emails from our team come *********************. We will never ask for sensitive information or conduct interviews via messaging apps.
$63k-106k yearly est. Auto-Apply 60d+ ago
Benefits after 30 days 4-23
H&H Recruiting
Benefit specialist job in De Soto, MO
Job Description
We are looking for new graduates and experienced Class A CDL Drivers in the St. Louis, MO area for a regional lane. Drivers home every two weeks, hauling no-touch dry vans.
Drivers on these accounts can earn up to $1300 weekly and are eligible for benefits after 30 days.
Requirements
*Must be 21 years or older
*Valid Class A CDL
*New Grads Welcome! (We will train)
Pay & Benefits
*1300 average weekly
*Driver Performance Bonus
*No-touch freight
*Medical, Dental & Vision coverage
*401K
*Paid time off
*Home every two weeks
Call or text Kristen at (803)480-6215 or email mccullkf@gmail.com to inquire.
Job Posted by ApplicantPro