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  • Medicaid Benefits Coordinator

    Prestige Healthcare Resources Inc.

    Benefit specialist job in Washington, DC

    Who We Are Prestige Healthcare Resources, Inc. (PHRI) is a mission-driven behavioral healthcare organization committed to delivering high-quality, person-centered services across the District of Columbia. We specialize in supporting individuals with behavioral health needs by ensuring seamless access to care, stability, and community-based support. A critical part of this mission is ensuring Consumers maintain active Medicaid coverage so they can receive consistent, uninterrupted services. As we expand our administrative and consumer support functions, we are seeking a dedicated Medicaid Benefits Coordinator to strengthen our eligibility, enrollment, and coverage management processes. What You'll Do As the Medicaid Benefits Coordinator, you will help Consumers apply for, secure, and maintain Medicaid benefits-ensuring timely access to care and preventing lapses in coverage. Your work directly impacts service continuity, billing accuracy, and Consumer satisfaction. Your responsibilities include: Medicaid Application & Enrollment Assist Consumers with completing new Medicaid applications and renewals. Guide Consumers through documentation requirements and submission steps. Educate Consumers on eligibility rules, MCO choices, renewal cycles, and timelines. Communicate with DHS, Medicaid offices, and MCO representatives as needed. Coverage Maintenance & Case Management Monitor Medicaid status and track upcoming expirations or risks of termination. Proactively contact Consumers to address pending renewals or missing documents. Resolve issues such as verification delays or eligibility discrepancies. Confirm application statuses, reinstatements, or corrections with DHS/MCOs. Documentation & EHR Management Maintain accurate Medicaid records within the EHR. Document all interactions and outcomes according to DC MHRS and HIPAA standards. Track approvals, lapses, reinstatements, and MCO enrollment changes. Consumer Communication & Support Provide clear, compassionate, step-by-step guidance throughout the Medicaid process. Assist Consumers facing barriers such as limited documentation or difficulty navigating systems. Coordination & Collaboration Work with intake, billing, clinical, and administrative teams. Notify staff when Medicaid issues impact service eligibility or billing. Partner with billing teams to reduce denials related to lapses or incorrect data. Problem Resolution & Follow-Up Investigate and resolve coverage discrepancies or unexpected terminations. Communicate with DHS, MCOs, and partner agencies to troubleshoot complex cases. Track unresolved issues and provide consistent follow-up until resolved. Compliance, Reporting & Quality Assurance Follow all DC Medicaid, MCO, DHS, and agency guidelines. Generate reports on Medicaid status, renewals, and unresolved issues. Support audits through accurate, compliant documentation. Keep staff informed of policy changes. Process Improvement Recommend workflow enhancements and participate in Medicaid-related trainings. What You'll Bring High school diploma or equivalent required; Associate's or Bachelor's degree preferred. 1-2 years of experience in Medicaid eligibility, insurance navigation, benefits coordination, or case management. Strong familiarity with DC Medicaid, MCO processes, DHS requirements , and public benefits systems (strongly preferred). Experience with EHR systems and Microsoft Office Suite. Excellent organizational skills, accuracy, and attention to detail. Strong communication, customer service, and problem-solving skills. Ability to maintain confidentiality, professionalism, and Consumer trust. Ability to work independently and collaboratively within multidisciplinary teams. Why Prestige Mission-driven work: Your efforts ensure Consumers have uninterrupted access to essential behavioral health services. Impact you can see: Preventing Medicaid lapses directly improves service delivery, billing accuracy, and client outcomes. Supportive team culture: Work collaboratively with intake, billing, and clinical teams who value communication and partnership. Professional development: Grow your expertise in Medicaid systems, managed care processes, and agency operations. Community-focused organization: Prestige is committed to empowering individuals, families, and communities through accessible, quality behavioral healthcare. Core Competencies 1. Medicaid Expertise Understands Medicaid eligibility, renewals, documentation requirements, and MCO processes to ensure continuous Consumer coverage. 2. Accuracy & Attention to Detail Maintains precise documentation, data entry, and case tracking to prevent coverage lapses and billing errors. 3. Consumer Advocacy Provides compassionate, clear guidance to Consumers, helping them overcome barriers and navigate complex eligibility processes. 4. Problem Solving Identifies issues quickly, troubleshoots with DHS/MCOs, and follows cases through to full resolution. 5. Communication Skills Communicates effectively with Consumers, internal teams, and external agencies; conveys information in a clear, supportive manner. 6. Collaboration Works seamlessly with intake, billing, clinical, and administrative teams to ensure service continuity and reimbursement accuracy. 7. Compliance & Confidentiality Follows all HIPAA, DC MHRS, Medicaid, and agency regulations while maintaining strict confidentiality. 8. Organization & Time Management Manages multiple cases, deadlines, and follow-up tasks efficiently in a fast-paced environment. AAP/EEO STATEMENT It is the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodations for qualified individuals with disabilities. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
    $45k-69k yearly est. Auto-Apply 42d ago
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  • Benefits & Leave Specialist

    Finnegan 4.9company rating

    Benefit specialist job in Washington, DC

    About Us Finnegan is more than just a law firm - we are a powerhouse of innovation and strategy growth. We pride ourselves on providing top-tier intellectual property services globally. Our success is rooted in our emphasis on relationships with our clients and each other. We care about every individual, and it is why many professionals have spent their entire careers at Finnegan. Role Overview We are seeking a Benefits & Leave Specialist who will be responsible for utilizing knowledge of the firm benefits programs and procedures to effectively administer the firm's core benefits programs. Responsibilities Administers several firm benefits programs including: FMLA policies and programs, domestic partner benefits, retiree benefits, backup dependent/elder care program and commuter benefits program. Provides guidance and counseling on benefits available to employees, including new hire benefits orientation, accurately and appropriately responding to inquiries from firm personnel Utilizes knowledge of firm procedures and payroll guidelines to serve as liaison to Payroll Dept regarding benefit deduction adjustments, FMLA and paid/unpaid leaves of absences, workers' compensation payments Communicates with insurance providers and third-party vendors to ensure prompt, accurate, and effective service is provided to employees and resolves questions and problems as they arise Maintains data and prepares reports, such as workers' compensation incidents, FMLA, leave of absence reports, etc. Prepares benefits termination packets and conducts benefits related exit interviews Prepares and processes benefits invoices - including reconciliation and auditing of monthly benefits bills, within established payment deadlines Keeps abreast of new or changing laws and best practices in the design/administration of benefits programs and policies; makes recommendations for revisions and/or improvements to programs and policies as appropriate. Ensures benefits and retirement files are maintained in accordance with department procedures and legal requirements Coordinate and support special benefits projects/programs, such as benefits fairs, open enrollment, benefits education meetings and wellness activities, etc. Prepares events and seminar communications Maintains and updates benefits booklets, and brochures as needed. Design, edit and maintain employee benefits intranet site Other duties as assigned Qualifications Bachelor's degree in human resources, Business Administration, or related field required PHR or CEBS certification preferred At least 3-4 years of work experience in benefits program development and coordination required; law firm or other professional services experience preferred Knowledge of benefits plans and employment laws affecting benefits required Knowledge of data gathering, analytical review of information and making sound recommendations on benefits program design. Proficiency in Microsoft Office Suite, with strong Excel skills; working knowledge of SharePoint or other web design programs, HRIS and database software, preferably Ceridian Dayforce, online research, and report writing and queries. Strong attention to detail Strong proofreading and editing skills Excellent communication, interpersonal and presentation skills Exceptional customer service and follow-through skills Ability to organize multiple tasks and work independently in a fast-paced environment with rapidly changing priorities Ability to anticipate needs, synthesize diverse data, trend data Strict attention to confidentiality If you are a strategic thinker with a passion for promoting success, we would love to hear from you. This role is based in the Washington, DC office and is not remote eligible. The base annual pay range for this role is between $80,000-$90,000. The base pay to be offered will vary and depend on skills and qualifications, experience, location and will also take into account internal equity. A full range of medical, financial and/or other benefits dependent on the position will also be offered. Equal Employment Opportunity Statement: Finnegan is an Equal Opportunity Employer. The firm is committed to providing equal employment opportunities to all applicants for employment, as defined by applicable state and federal laws, without regard to race, color, religion, sex, national origin, ancestry, age, sexual orientation, gender identity or expression, physical or mental disability, medical condition, military or veteran status, genetic information, marital status, pregnancy, childbirth, or related medical conditions, or any other protected status in accordance with all applicable federal, state and local laws. For candidates needing reasonable accommodations or assistance with the application process, please contact Human Resources at ************. Our privacy policy for applicants can be found here. #LI-DI1
    $80k-90k yearly 15d ago
  • Benefits Manager

    Latitude 3.9company rating

    Benefit specialist job in Columbia, MD

    About the Opportunity A well-established, highly regarded professional services organization is seeking an experienced Benefits & Leave Administration Manager to lead and oversee its benefits and leave programs. This is a highly visible role within Human Resources, ideal for a seasoned professional who enjoys both hands-on administration and strategic process improvement. The organization is looking for someone with deep experience who can step in confidently, assess current operations, and ensure smooth, compliant delivery of benefits and leave services. This contract-to-hire structure allows both the organization and the candidate to ensure long-term fit, with intent to convert for the right individual. Position OverviewThe Benefits & Leave Administration Manager is responsible for the end-to-end administration, compliance, and optimization of employee benefits and leave programs. This role partners closely with HR leadership, Finance, and external vendors to ensure an excellent employee experience while maintaining regulatory compliance and operational efficiency. Key ResponsibilitiesBenefits Administration & ComplianceOversee relationships with benefit vendors and third-party administrators Manage enrollments, terminations, beneficiary updates, COBRA, disability and life insurance claims, and retirement plan transactions Ensure compliance with applicable federal and state regulations (ERISA, ACA, HIPAA, etc.) Prepare and file ACA reporting (including 1095-C forms) Coordinate annual retirement plan audits, compliance testing, QDROs, and required filings Leave AdministrationManage all leave of absence programs, including FMLA, ADA, short-term and long-term disability Maintain accurate documentation, coordinate benefits premium payments during leave, and communicate with employees and managers Process Improvement & StrategyEvaluate current benefits and leave processes and implement improvements to increase efficiency and accuracy Support wellness initiatives, employee communications, and engagement efforts Partner with HR leadership to develop and deliver training related to benefits and leave policies Produce utilization reports and analysis to support leadership decision-making Vendor & Financial OversightAudit vendor performance and billing accuracy Support contract negotiations, renewals, and cost management in collaboration with HR and Finance leadership HRIS & SystemsServe as the subject matter expert for benefits and leave functionality within the HRISEnsure data integrity, troubleshoot issues, and support system enhancements or upgrades QualificationsBachelor's degree in Human Resources, Business Administration, or a related field strongly preferred7-10+ years of progressive experience in benefits and leave administration, including leadership or senior-level responsibility Strong knowledge of benefits compliance and multi-state leave regulations Experience in a professional services or similarly structured corporate environment preferred Hands-on experience with HRIS platforms (experience with UKG is a plus but not required) Strong Excel and Microsoft Office skills Proven ability to manage vendors, oversee budgets, and navigate complex benefit programs Excellent communication skills with the ability to clearly explain complex topics and influence stakeholders Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment$55 - $58 an hour
    $55-58 hourly Auto-Apply 17d ago
  • Associate Advisor, Employee Benefits - Insurance Advisory Solutions

    The Baldwin Group 3.9company rating

    Benefit specialist job in Bethesda, MD

    The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. Position Summary: The Associate Advisor will work to gain knowledge of the respective line of insurance to successfully gain technical and sales knowledge. As an Associate Advisor, they will begin with an in-depth training program and will have exposure to existing clients with the opportunity to be mentored by experienced Advisors. This role will learn the firm's insurance and risk management value proposition to support the clients' needs and passions. PRIMARY RESPONSIBILITIES: Through training you will be responsible for growing your own book of business which will include generating, prospecting, soliciting, and closing new accounts as well as beginning to retain your own clients. Identify and generate new sales opportunities through analysis and discovery. Participate in sales meetings to review sales activities and prospective customers with leadership. Develop a full working knowledge of respective insurance line products and procedures. Learns to present proposals in a professional manner, reviewing coverages in detail to ensure understanding. Maintains an understanding and knowledge of insurance industry and underwriting criteria for Insurance Company Partners represented by firm to effectively communicate to all involved. KNOWLEDGE, SKILLS & ABILITIES: Excellent communication and presentation skills Strong ability to persuade, motivate and influence others Basic knowledge of Microsoft Word and Excel Ability to learn appropriate insurance company and firm software systems Demonstrates core values, exuding behavior that is aligned with the firm's culture EDUCATION & EXPERIENCE: Obtain and maintain a 2-15 or 2-20 state insurance license, as required by the State Department of Insurance to provide risk management consulting or risk transfer solutions as necessary in states where the firm functions (or be willing and able to obtain all required licenses within the first 90 days of employment). The starting pay for this position is $80,000 - 90,000+ annually. Salary is negotiable upon time of hire. IMPORTANT NOTICE: This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodation to applicants and colleagues who need them for medical or religious reasons. #LI-JK1 Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
    $80k-90k yearly Auto-Apply 6d ago
  • Manager of Benefits and Retirement Services

    Mid-Atlantic Permanente Medical Group Careers

    Benefit specialist job in Washington, DC

    Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Manager of Benefits and Retirement Services to join our Human Resources department. This position is a full-time opportunity based out of our regional office located in Washington D.C. with a hybrid work model. Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia. Reporting to the Director of Retirement and Benefits Compliance, the Manager of Benefits and Retirement Services will provide leadership, expert guidance, and customer service support in the areas of employee retirement and core benefits administration. You will also ensure exceptional service delivery to employees, manage a small team responsible for benefits administration and related employee services, and lead special projects that enhance the efficiency, quality, and impact of the HR function. You can expect to: Supervise and mentor a team of three Benefits Specialists managing FMLA administration, professional development expense reimbursements, and employee benefits customer service Serve as the primary contact for 401(k), pension, and nonqualified plan inquiries across all employment categories, including retirees Conduct personalized one-on-one sessions to support employees in retirement planning and understanding post-retirement benefits; Assist with ongoing Benefits Education sessions for all employment categories related to topics outside MAPMG specific benefits Advise physician leaders and HR partners on policies related to nonqualified benefits and internal transfers Interpret and communicate complex plan documents, policies, and eligibility criteria with clarity and accuracy Lead and support cross-functional HR projects focused on process improvement, benefits education, and strategic initiatives Collaborate with vendors, actuaries, and internal teams to ensure compliant and efficient benefits administration What is required: Bachelor's degree in human resources, business administration, or a related field required; advanced degree or HR certification (e.g., CEBS, PHR, SHRM-CP) preferred Minimum of seven (7) to ten (10) years of experience in benefits and retirement administration, including individual retirement planning sessions or advisory work Minimum of two (2) years of supervisory or team leadership experience Defined Benefit and non-qualified plan experience preferred Strong knowledge of retirement plans, FMLA, and general employee benefits Excellent communication, analytical, and interpersonal skills Proven ability to manage projects, lead teams, and deliver high-quality employee service Must be able to commute to Washington D.C., on an as-needed basis Candidates must either currently live in or be willing to relocate to the Washington D.C. metropolitan area Must provide documentation of the Covid vaccine 2-dose series (or J&J 1-dose) prior to October 1, 2023, or documentation for 1-dose of the most current Covid vaccine (Pfizer or Moderna) as a condition of employment Must provide documentation for the influenza vaccine as a condition of employment Competitive Benefits: Competitive compensation package 100% employer-funded medical and dental insurance premiums for employees and families effective on the first day of employment Generous paid time off, including vacation, holidays, and sick leave, plus maternity and parental leave Pension plan, and 401(k) retirement plan with employer contributions Life insurance, short-term disability, and long-term disability coverage Education reimbursement The starting annual salary for this position ranges from $120,000 to $135,000, depending on circumstances including an applicant's skills and qualifications, certain degrees and certifications, prior job experience, training, market data, and other relevant factors. In addition to the salary range above, MAPMG offers rich benefits that add substantial value to the total compensation package. MAPMG continuously works to identify and mitigate healthcare inequities, and that starts with providing an inclusive, supportive environment for our physicians and staff. We encourage applicants of any race, color, religion, sex, sexual orientation, gender identity, or national origin who value diversity and will commit to practicing culturally competent healthcare. External hires must pass a background check and drug screening.
    $120k-135k yearly 60d+ ago
  • Employee Benefits Internal Specialist

    Sun Life Financial 4.6company rating

    Benefit specialist job in Baltimore, MD

    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 15d ago
  • Coordinator, Benefits Eligibility and Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Washington, DC

    **_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 (***************************************************************************************************************************
    $21-27.7 hourly 60d+ ago
  • Benefits Manager

    Ijm

    Benefit specialist job in Washington, DC

    Benefits Manager Who We Are International Justice Mission (IJM) is the global leader in protecting vulnerable people from violence around the world. Our team of over 1,200 professionals are at work worldwide in over 30 offices. Together we are on a mission to rescue millions, protect half a billion, and make justice unstoppable. We are a global community that cares for one another. We believe that the way we work is as important as the results we achieve. We provide professional excellence with joy and celebration to all those we serve. The Need For over 25 years, IJM has pioneered the work to protect vulnerable people from violence. 9 out of 9 times in the last decade, IJM's Justice System Strengthening Projects have reduced slavery and violence between 50 and 85% for very large populations of people in poverty. As we grow to expand our impact to protect 500 million people from violence, we are seeking a Benefits Manager to lead the strategic and operational delivery of benefits programs for employees in the U.S. This role ensures alignment with organizational goals, regulatory compliance, and employee engagement, while enhancing IJM's employee value proposition. This position is hybrid (onsite Tuesdays & Thursdays) based in the Washington, DC area and reports to the VP, HR Operations. It is only available for candidates with the right to work in the U.S. Responsibilities: Health & Welfare Design and Administration Design and evaluate health and welfare programs to align with IJM goals and objectives. Manage day-to-day operations of U.S. employee and expatriate benefit programs (medical, dental, vision, retirement, FMLA, leaves of absence, disability). Serve as subject matter expert for benefits and primary point of contact for employee inquiries. Collaborate with vendors and brokers to negotiate contracts and monitor service quality. Ensure integrity of employee and program data in Workday and related systems. Lead education and training associated with health and welfare program execution. Regulatory and Compliance Ensure benefits programs meet federal, state, and local regulations (ACA, ERISA, HIPAA, COBRA, FMLA). Partner cross-functionally to maintain accurate plan documents and required notifications. Lead or participate in audits to identify and mitigate compliance risks. Serve as primary point of contact for brokers, vendors, and regulatory agencies. Communication and Training Develop and deliver benefits training for new hires, open enrollment, and plan changes. Maintain internal information sites to ensure policies and program details remain current. Qualifications: Bachelor's degree in human resources management or related field. 5-7 years' experience in employee benefits design and administration. Benefit plan audit experience and experience partnering with regulatory agencies. CEBS designation is desirable. Technical Competencies Proficient with Workday HCM and MS Office Suite. Strong data analysis and research skills. Working knowledge of SharePoint. Critical Qualities: Eager commitment to IJM's Core Values: Christian, Professional and Bridge-Building. Highly organized with strong attention to detail. Ability to work independently and lead projects. Strong time management and problem-solving skills. Application Process: Upload Resume, Cover Letter & Statement of Faith* in one PDF document. *What is a statement of faith? A statement of faith should describe your Christian faith and how you see it as relevant to your involvement with IJM. The statement can either be incorporated into the cover letter or submitted as a separate document and should include, at a minimum, a description of your spiritual disciplines (prayer, study, etc.) and your current fellowship or place of worship. What does IJM have to offer? Comprehensive Medical/Dental/Vision benefits Monthly commuter and parking benefits in the DC metro area Retirement benefit options Paid leave starting at 23 days 12 holidays (plus early release the day prior) Daily, quarterly, and annual community spiritual formation Robust staff care resources IJM holds strict safeguarding principles and a zero tolerance to violations of the Safeguarding Policy, Protection against Sexual Exploitation, Abuse and Harassment Policy, and Code of Ethics. Candidate selection is based on technical competence, recruitment, selection and hiring criteria subject to assessing the candidate's value congruence and thorough background, police clearance, and reference check processes. At IJM, we're committed to building a diverse workforce through fair and equitable employment practices. IJM encourages people of any race, color, age, sex, marital status or political ideology to apply for employment. While we welcome everyone into this work, we truly believe that the work we are doing is God's work, not our own, and practice spiritual disciplines together daily. That's why we legally require under SEC. 2000e-1 [Section702] of Title VII of the Civil Rights Act of 1964 that all employees practice a mature orthodox Christian faith, as defined by the Apostles' Creed. IJM requires a background check, police clearance and thorough review of references with an employment offer and/or employment contract.
    $65k-114k yearly est. Auto-Apply 35d ago
  • Benefits Analyst (Claims Focused Analyst)

    Inovalon 4.8company rating

    Benefit specialist job in Bowie, MD

    Overview: The Benefits Analyst will be responsible for providing in-depth analysis and creation of healthcare provider business rules that will modify and edit medical claims. This role requires in-depth knowledge of medical billing and coding of insurance claims from working in the healthcare profession as either a biller or at a software clearinghouse. The Analyst role is a customer facing role via email, ticketing, and occasionally in video meetings. This role requires the ability to review customer requests, ask for any clarifications from the requester and then create, test and publish custom claim edits on behalf of the client within company stated SLAs with a high level of quality. Requests can be customer initiated or medical insurance company mandates or necessary to ensure claims are paid timely. In addition, the Analyst will be responsible for reviewing claims that have failed to process in the system and come up with new edits to solve for outstanding changes that are needed within the system. The Analyst will work as part of a team to ensure that the Inovalon clearinghouse system maintains a high level of first pass claims acceptance rate through continued monitoring and proactive research to the changing needs of insurance claims processing. Duties and Responsibilities: Take ownership of triaging incoming internal and external customer requests for medical claims processing changes needed. Prioritize requests based on operational needs and escalate issues to quick resolution when needed. Implement technical business rules for processing medical claims; including building logic statements based on specific medical insurance claims fields to modify and or change; test with medical claims and implement to live systems. Take a collaborative role with the application support team to triage production problems involving claims processing, perform defect analysis and provide fixes in business logic to be implemented by software teams in a timely fashion, particularly with high priority items. Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered. Liaise with Technology and Engineering teams to resolve application issues and enhancement requests to internal tools used by the team to expand capabilities. Ensure compliance to Company procedures when making changes and implementing new business rules. Ensure ongoing regularly scheduled updates required for compliance are executed timely. Responsible for accessing payer websites and compliance standards research (i.e. UB Editor, payer Companion Guides) Review claim level and file level failures or errors ongoing to find and implement new rules as needed to ensure our first pass claim acceptance rate hits our internal goals. Update documentation, SOPs, and training documentation as needed. Maintain a follow up schedule for unresolved issues. Respond to support requests through phone calls, and emails. Assist operations with process improvement and finding solutions to business problems. Maintain compliance with Inovalon's policies, procedures and mission statement. Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company. Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function. We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Job Requirements: Required: Minimum 2 years' experience with Medical Billing in a healthcare setting, doctor's office or hospital; Preferred: Clearinghouse backend operations. Understanding of Medicare NCDs, as well as Medicare/Medicaid MUE and CCI related billing rules Solid understanding of Institutional and Professional claim forms, 5010 X12 files including 837, 835, 277 and 999. Nice to have: experience in application support, SaaS experience preferred, healthcare background preferred Being able to communicate clearly with clients; client focused and sensitive to client needs Experience working with a ticketing system; Preferred: Service Now Direct experience building logic rules for medical claims processing. Excellent problem solving and analytical skills. The ability to multi-task effectively Education: Bachelor's degree or equivalent work experience required. Physical Demands and Work Environment: Sedentary work (i.e., sitting for long periods of time); Exerting up to 10 pounds of force occasionally and/or negligible amount of force; Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions; Subject to inside environmental conditions; and Travel for this position will include less than 5% locally usually for training purposes.
    $59k-75k yearly est. Auto-Apply 18d ago
  • Trainer - Employee Benefits

    Aegon 4.4company rating

    Benefit specialist job in Baltimore, MD

    Job Family Talent Management & Learning About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Provides analysis, design, delivery and administration of learning solutions within the organization. Designs and develop course curriculum. Supports the learning needs for small to medium scale transformational projects. Evaluates the effectiveness of learning programs and transfer of knowledge. Works closely with the team to ensure programs align with and contribute to business and strategic goals. Responsibilities * Support the learning needs of the organization, including new products and systems projects; design and develop online training courses, resources and job aids that support the success of the learning programs. * Analyze the needs of the business unit to ensure that the design and documentation of learning materials is effective. * Continue to grow and develop as a learning professional by contributing to the success of the team. This will be done by demonstrating and sharing best learning practices with business groups and team members, and by acting as a role model in the learning professional field. * Deliver and assess process and system training. * Work with business areas to ensure application of knowledge on the job. * Maintain development history and learner's progress within the learning management system (LMS) and monitor effectiveness of programs. * Develop curriculum and work closely with each team area to keep the documentation updated as changes occur. * Develop and deliver presentations utilizing different mediums. Qualifications * Bachelor's degree in a business-related field or equivalent work experience. * Two years learning and development experience. * Ability to work independently and as part of a team. * Strong documentation and technical writing skills. * Excellent interpersonal skills. * Ability to incorporate creative and innovative solutions in a learning environment. * Project management skills that include research capabilities and effective prioritization. * Strong verbal and written communication skills. * Advanced proficiency in Microsoft Windows and MS Office applications. Preferred Qualifications * Knowledge of adult learning principles. * Training experience in insurance or other related business. * Insurance/financial services industry experience. * Knowledge of Microsoft SharePoint and learning management systems. Working Conditions * Hybrid * Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations. Compensation: The salary for this position generally ranges between $56,000-$63,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2. Bonus Eligibility: This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $56k-63k yearly Auto-Apply 39d ago
  • Benefits Consultant

    Interview Hunters

    Benefit specialist job in Columbia, MD

    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
    $67k-107k yearly est. Auto-Apply 60d+ ago
  • Employee Benefits Account Specialist

    Corporate Synergies 3.9company rating

    Benefit specialist job in Columbia, MD

    Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firm in the US, is adding an Account Specialist to their Corporate Synergies team in the DC Metro Region. Essential to developing a strong foundation in employee benefits brokerage/consulting, the Account Specialist is an entry-level position, responsible for developing the industry knowledge/skills necessary to support Sales, Account Management and Underwriting with activities related to marketing, sales, and service of multiple client accounts (Book of Business). Key Responsibilities: Maintain up-to-date client files/internal systems in accordance with CSG's standard protocols. Support the various pre-renewal/renewal/post-renewal and wellness activities. Coordinate data gathering for reporting efforts (analytical, compliance, etc.). Complete training/professional development to gain understanding of the industry and CSG. Essential Duties: As part of the client life-cycle (on-boarding, ongoing support and renewal), assist/support the Account Management and Underwriting Team for all lines of coverage by: Gathering all necessary data to fulfill our obligations (including the outreach to carriers and client to secure information) Supporting the team with the preparation, analysis and delivery of materials that makeup the deliverable (i.e. exhibits, reports and presentations) Completing/fulfilling assigned implementation tasks associated with client related projects Coordinating activities and successfully completing regulatory tasks (i.e. 5500's, ACA and other notices/disclosures) throughout the year Prepare standard and ad-hoc reports (as needed) Tracking receipt of deliverables and update the Annual Action Plan to ensure both the accuracy and timeliness of materials Participating (whenever appropriate) in client meetings/presentations At various times throughout the year (i.e. Open Enrollment), prepare and review employee education and communication materials (i.e. Benefit Guides). Assist in the coordination Open Enrollment activities (includes conducting meetings). Maintain internal systems (i.e. BenfitPoint and Oracle) and client files in accordance with CSG's data standards and filing requirements. Perform necessary steps (including timely follow-up) to help resolve client service or claim issues/inquiries and/or administrative concerns. Interact with carriers and vendors on behalf of the client and the team. Qualifications: Strong attention to detail, well organized and responsive, Strong desire and willingness to learn all aspects of: CSG suite of services and available solutions Insurance and healthcare related products Regulatory and compliance related matters (including healthcare reform) Very comfortable with numbers Proficient in Microsoft Excel, PowerPoint, Word and Publisher Ability to quickly learn new skills Comfortable working independently as well as in a team environment Ability to establish relationships Strong oral and written communication skills Ability to multi-task and demonstrate composure/resilience under pressure - Comfortable switching between clients and tasks to meet deadlines Basic understanding of insurance and healthcare. Education & Experience: Education - High School Diploma, Bachelor's Degree preferred. Licensure/Certification - State Specific Resident Life & Health License is required within six months from date of hire. This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees. Pay Transparency Range$50,000-$65,000 USD Disclaimer: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary. Equal Employment Opportunity (EEO): FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law. Benefits: FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
    $50k-65k yearly Auto-Apply 60d+ ago
  • Manager, Payroll and Benefits

    FAS 4.3company rating

    Benefit specialist job in Washington, DC

    Manager, Payroll and Benefits Full-time FAS staff Washington, DC Why FAS? Does FAS sound like an organization that you would be energized to join? Is it aligned to your values? The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community. FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity. The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world. Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world. Skills and Expertise: Must Haves What skills do you need to show proficiency (or higher) in order to be a strong candidate? Bachelor's degree or higher in Accounting, Finance or Business Administration. 4-6 years of experience in benefits and payroll administration. A deep understanding of various employee benefits, including health, retirement, and insurance. Intermediate/expert skills in Excel required. Previous experience with HRIS software is highly desirable. Excellent communication, interpersonal, and negotiation skills. Proven ability to build and maintain effective working relationships at all levels across the organization. Monitors own work to ensure professional quality and punctuality. Ability to handle sensitive and confidential information with discretion. Strong analytical and problem-solving skills Highly Preferred: Certified Benefits Professional (CBP) is highly preferred. Non-profit experience is highly preferred. To Sum It Up… What's the “elevator pitch” for the role? The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes. In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards. This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization. This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision. At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture. What you'll do: (Core responsibilities) Benefits Administration Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs. Manage open enrollment, employee eligibility, and benefit plan changes throughout the year. Serve as the primary point of contact for benefits-related inquiries and issue resolution. Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery. Coordinate benefits education sessions and communications to enhance employee understanding and engagement. Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement. Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors. Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others. Payroll Management Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws. Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements. Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting. Administer wage adjustments, retroactive pay, and off-cycle payments as needed. Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws. Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records. Review and update payroll-related policies and procedures for clarity and compliance. Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll. Special projects and tasks as assigned. Compliance and Reporting Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.). Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits. Work Environment This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote. Salary Range $70,000-$85,000 Hiring Statement Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate. The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States.
    $70k-85k yearly Auto-Apply 60d+ ago
  • Employee Benefits Attorney

    Lewis & Associates 3.8company rating

    Benefit specialist job in Washington, DC

    LEWIS & ASSOCIATES is a leader in providing Legal and Administrative staffing services. We are a sole source staffing firm giving you convenient ways of working with us. We make every effort to ensure the highest degree of professionalism and integrity in the staffing process. We understand the demanding role of recruiting to source the highest level of legal professionals while incorporating proven, innovative, and successful recruiting techniques. Job Description Great opportunity to work for an international law firm that provides thoughtful, strategic, practical legal counsel to client companies and legal teams of all sizes. With more than 800 attorneys in the U.S., London, Shanghai, Melbourne and Sydney, the firm offers a national platform and an international gateway to serve your changing business and legal needs in litigation, employment, corporate, real estate and employee benefits. The firm has gained acclaim for our innovative Lean client service model, which incorporates the core principles of Lean Six Sigma to the delivery of legal services, and they continue to develop new reporting and project management tools for greater transparency and collaboration with their clients. The firms efforts have contributed to their recognition by in-house counsel as ‘Best of the Best' for client service within the 2014 BTI Consulting Group's Client Service A-Team and being named by the Financial Times U.S. Innovative Lawyers Report among the most innovative law firms. Qualifications We are seeking an associate attorney with 1 to 5 years of experience to join the Employee Benefits department in the Chicago office. Candidates should have experience with qualified retirement plans and welfare benefit plans. Excellent academic credentials, analytical skills and verbal and written communication skills, and at least 2 years law firm experience required. Additional Information
    $50k-74k yearly est. 60d+ ago
  • Benefits Manager

    American University 4.3company rating

    Benefit specialist job in Washington, DC

    American University is a student-centered research institution located in Washington, DC, with highly-ranked schools and colleges, internationally-renowned faculty, and a reputation for creating meaningful change in the world. Learn more about American University Department: Employee Benefits Time Type: Full time Job Type: Regular FLSA Status: Exempt Work Modality: Hybrid 01 (On Campus 3-4 Days/Week) Union: Job Description: Summary: The Benefits Manager is responsible for the strategic development and management of comprehensive benefits programs for the university. The Manager will be responsible for providing competitive benefits program and support for 2,900 faculty, staff and retirees. The Manager will participate in the development of the Annual Open Enrollment, Digital Transformation of the Total Rewards Department, Retirement Portal and effective management and communication of Health & Welfare, Life and Disability, Retirement and Educational benefit programs. The Benefits Manager, in collaboration with the Director of Employee Benefits and Retirement, provides overall leadership and administration for benefits planning and administration for university faculty, staff and retirees. They recommend policy, oversee the benefits operations, and directly manage benefits and retirement administration. The Manager plans, negotiates and administers all University benefits programs and initiatives; develops long range and current planning proposals for budget; serves as contract liaison between benefits carriers, mutual fund companies, and consulting firms and university offices of procurement and finance; prepares and presents critical research and trend data and analyses on benefits and retirement programs; reviews and evaluates new and existing laws and regulations for retirement compliance; and designs and implements ongoing initiatives to enhance the effectiveness of the retirement programs and costs at American University. Essential Functions: 1.) Health and Welfare * Manage the day-to-day operational activities of AU's health and welfare programs to ensure compliance with AU policies and applicable laws. Ensure high standards of customer service. Develop and implement initiatives to ensure high quality of service for the university, faculty, staff, and retirees. Interface with vendors on behalf of participants and HR staff to clarify vendor and AU policies and procedures, resolve claims, and provide direction to vendors. In consultation with Director of Employee Benefits and Retirement, make decisions on policy exceptions and special requests. Counsel faculty and staff members on benefits programs. 2.) Education * Administers the university's educational benefits to include tuition remission, Tuition Exchange Scholarship, and cash grant programs in accordance with university policies and processes, and in compliance with federal tax code. Responds to faculty and staff member questions and works closely with Financial Aid and Student Accounts to ensure tuition remission is posted in a timely manner. Maintain the applicant/participant databases for each of the educational benefits programs. Maintains and updates educational benefits information in benefit manuals and online. 3.) Retirement * Manage administration and support systems of the University's competitive retirement programs and support systems for faculty, staff, and retirees. Provide support and oversight for all university retirement planning and administration. Recommend policy changes and modernization. Plan, participate in negotiations, and administer all University retirement programs and initiatives. Develop current planning proposals, including budget impact. Serve as a liaison between retirement vendors and university offices of procurement and finance on contracts and coverage with insurance carriers, mutual fund companies, compensation vendors, and consulting firms. Prepare and present critical research and trend data and analyses on retirement. Review, evaluate and ensure programs remain in compliance with new and existing laws and regulations and align with university policies. Design and implement ongoing initiatives to enhance retirement offerings, ensure equity, and effectively manage costs. 4.) Programs and Engagement * Develop content and present benefits information, updates and proposals for leadership, Benefits Advisory Project Team, events and stakeholders. Manage New Hire Enrollment processes. Process, investigate, and collaborate with vendors to resolve customer benefit issues. 5.) Leaves * Support the day-to-day operational activities of the benefits team by investigating and resolving routine customer benefits issues relating to AU's benefit programs and educating the HR Support / Employee Relations / HR Operations teams in a way that enhances their collective knowledge so they can better support their clients and customers. Benefit programs include health plans, dental plans, vision plans, Rx plans, flexible spending accounts, group legal plans, group pet insurance, group auto and home insurance plans, and others. Identify trends and issues with potential broad customer impact and report findings to leadership. Process corrections to coverage information and ensure prompt notification to vendors of errors. Answer plan issues inquiries, qualifying events, COBRA, and benefits for staff and faculty members on Leave of Absence or Long-Term Disability. 6.) Compliance * Manage the annual audits, data and regulatory filings with the different agencies, committees, and institutions. Monitors and stays current on changes to state and federal laws. Partner with key stakeholders, including Finance, IT, and Legal, to support effective implementation and compliance. 7.) Supervision * Serve as part of the Total Rewards team. Provide direction, supervision and mentorship to Benefit Analyst roles. 8.) Other Duties as Assigned Supervisory Responsibility: * This position will supervise two Benefits Analyst positions. Competencies: * Prioritizing and Organizing. * Acquiring and Analyzing Information. * Evaluating and Implementing Ideas. * Developing Plans. * Making Accurate Judgments and Decisions. * Building and Supporting Teams. * Building a Customer Focused Organization. * Driving Continuous Improvement. * Collaborative Leadership. Position Type/Expected Hours of Work: * Full-Time. * 35 hours per week. * Hybrid 1 work modality (on campus 3 - 4 days per week). Salary Range: * $90,000 - $100,000 annually. Required Education and Experience: * A Bachelor's degree or equivalent combination of education and experience. * At least 5 years progressively responsible experience in benefits and retirement or equivalent in education, training and experience. * Proficiency in consultation skills, executive coaching, customer service skills, strategic communications, collaboration, interpersonal and management skills, committed to supporting a diverse and inclusive community. * Knowledge, understanding and application of Federal and State employment laws. * Proficiency in financial analysis, modeling and budgeting. * Proficiency in data analytics and use of Excel. Preferred Education and Experience: * Master's degree, or Accounting, Economics or Finance Bachelor's degree. * 5 - 8 years of relevant experience. * Proficiency in Microsoft Office Suite and Power Point. Additional Eligibility Qualifications: * CEBS certification or other benefit certification(s) or accounts / finance certification is highly desirable. Benefits AU offers a competitive benefits package. Click here to learn about American University's unique benefit options. Other Details * Hiring offers for this position are contingent on successful completion of a background check. * Employees in staff positions at American University must deliver their services to the university from either the District of Columbia, Maryland, or Virginia, or perform work on-site at the university. * Please note this job announcement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. * American University is an E-Verify employer. Current American University Employees American University current employees must apply through their employee Workday account. If you are a current employee at American University, please log into Workday and select the Find Jobs report which will take you to our internal career listings. Contact Us For more information or assistance with the American University careers site, email ************************. American University is an equal opportunity, affirmative action institution that operates in compliance with applicable laws and regulations. The university does not discriminate on the basis of race, color, national origin, religion, sex (including pregnancy), age, sexual orientation, disability, marital status, personal appearance, gender identity and expression, family responsibilities, political affiliation, source of income, veteran status, an individual's genetic information or any other bases under federal or local laws (collectively "Protected Bases") in its programs and activities.
    $90k-100k yearly Auto-Apply 22d ago
  • Insurance Benefits Consultant

    Modern Insurance Pros

    Benefit specialist job in Silver Spring, MD

    A career with Aflac is one of the most sought-after, highly paid, rewarding and fun careers on the market today! Aflac is a strong, stable, ethical company where you can work smarter (not harder), earn more money each year, enjoy more time off and work with great people. With Aflac you can enjoy what you do each day AND help people in the process. Businesses need our no-cost business solutions and employees need our cash benefit programs. This means there's never been a better time to join Aflac! This is what a successful career with Aflac can give you and your family: Solid 1st year income with 15% to 40% increases in your income each year. Complete control of your career path, your clients and your daily schedule. Job security and long-term financial security. General job responsibilities: Complete our award-winning onboarding process and training both in the classroom and out in the field with a personal mentor. Establish new relationships with companies through networking, field marketing, social media, LinkedIn, referrals and warm leads. Meet with business owners, identify their business needs, discuss our no-cost business solutions, schedule employee education meetings and enroll employees in Aflac benefits. Assist with billing, invoicing, claims and policyholder servicing. Leadership Positions are available within three to six months (as long as business goals are achieved). This allows you to build your own Aflac agency. The Aflac Experience: Make $45,000 to $65,000 during their first year before bonuses. Earn additional compensation through our new Benefits Consultant Award Series (up to $12,900 1st year), stock bonuses, renewal income, nomination bonuses and ongoing contests that include trips, prizes and cash bonuses. After certain time periods you receive a percentage of your policy renewal income (2 Years = 50%, 5 years = 75% and 10 years = 100%). You continue to receive this income even if you leave the company! Represent the #1 company in the industry. Flexible schedule (no nights or weekends, unless you want to). We pride ourselves in being a fun, ethical, professional team that actively work together in a positive, cooperative work environment. Several management and specialty opportunities are available for qualified candidates. Job Requirements: An Accident, Life and Health License is preferred. *If you don't have a license that is okay. If you are willing to obtain your Accident, Life and Health License will also be considered. It's a simple process and you will be supported throughout. No F1, OPT or CPT Visa positions available for this position. Insurance Benefits Consultants are independent contractors of Aflac. Applicants must be United States Citizens or own a permanent resident card.
    $45k-65k yearly 60d+ ago
  • Senior Benefits Analyst

    Rocket Software 4.5company rating

    Benefit specialist job in Washington, DC

    **It's fun to work in a company where people truly BELIEVE in what they're doing!** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit programs that enhance the employee experience, through support and management of both global and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit programs to enhance the employee experience and align with the company's total rewards philosophy. This role focuses on operational excellence, compliance, and data-driven insights to ensure competitive and cost-effective benefits offerings. The analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. **Job Overview:** The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit programs to enhance the employee experience and align with the company's total rewards philosophy. This role focuses on operational excellence, compliance, and data-driven insights to ensure competitive and cost-effective benefits offerings. The analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. **Essential Duties and Responsibilities** : + Administer health and welfare benefit plans (medical, dental, vision, disability, life insurance) and ensure accurate enrollment and eligibility. + Maintain compliance with federal and state regulations (ERISA, ACA, HIPAA, COBRA) and support audits. + Partner with vendors and carriers to resolve issues, monitor service levels, and ensure accurate data exchange. + Analyze claims, utilization, and cost trends; prepare reports and dashboards for leadership review. + Assist in benchmarking benefits against industry standards and support recommendations for program enhancements. + Develop employee communications and resources to promote understanding and engagement with benefits programs. + Respond to escalated employee inquiries and provide guidance on complex benefit issues. + Collaborate with HRIS and IT teams to maintain and optimize benefits systems and self-service tools. + Support wellness initiatives and contribute to global benefits projects as needed. + Identify process improvements to streamline administration and enhance employee experience. **Required Qualifications:** + Minimum 4-6 years of experience in benefits administration or analysis. + Strong knowledge of U.S. benefits regulations and compliance requirements. + Proficiency in Microsoft Excel and data analysis; ability to translate data into actionable insights. + Experience working with HR systems (Workday or similar) and benefits administration platforms. + Strong communication and problem-solving skills; ability to manage multiple priorities. + Bachelor's degree in Human Resources, Business, or related field required; professional certification (CEBS or similar) preferred. + Highly proficient in Microsoft Office, particularly Excel. + Previous experience of M&A activity / benefits harmonization. + Strong communication and presentation skills. + Workday (or comparable HR System) experience. **Preferred Qualifications:** + Facility/experience with a breadth of software/benefit administration systems. + Benefits or Rewards Remuneration professional certification or bachelor's degree in business, tax, Human Resources or a related field. + Experience/background with compensation and global mobility a plus. **Education:** Bachelor's degree in business, Human Resources, Communication or Liberal Arts. **Travel Requirements:** **Information Security:** Information security is everyone's responsibility. A fundamental principle of information security at Rocket Software is that all individuals in the organization have a responsibility for the security and protection of company information and IT Resources over which they have control, according to their role. **Diversity, Inclusion & Equity:** At Rocket we are committed to an inclusive workplace environment, where every Rocketeer can thrive by bringing their full selves to work. Being a Rocketeer means you are part of our movement to continually drive inclusivity, diversity and equity in our workforce. \#LI-JC1 \#LI-Remote Annual salary range for this position is between $98,880.00 - $123,600.00 gross before taxes. . **What Rocket Software can offer you in USA:** **Unlimited Vacation Time as well as paid holidays and sick time** **Health and Wellness coverage options for Rocketeers and dependents** **Life and disability coverage** **Fidelity 401(k) and Roth Retirement Savings with matching contributions** **Monthly student debt benefit program** **Tuition Reimbursement and Certificate Reimbursement Program opportunities** **Leadership and skills training opportunities** EOE M/F/Vet/Disability. Rocket Software Inc. is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Rocket Software Inc. is also committed to compliance with all fair employment practices regarding citizenship and immigration status. Rocket is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please call: ************ or send an email to *************************. We will make a determination on your request for reasonable accommodation on a case-by-case basis. As part of our commitment to a safe and trustworthy workplace, we include background and reference checks in our hiring process. _It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability._ _If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!_ Companies around the world trust Rocket to solve their most complex business challenges by powering their critical infrastructure, business processes, and data. We help extend the value of these assets, enabling our customers to embrace the potential of cloud and mobile computing, advanced analytics, and the innovations of tomorrow. From the clothes we wear to the cars we drive, Rocket solutions power the back-end systems that thousands of brands rely on every day. At Rocket, software is about more than just code-it's about people. We are passionate problem-solvers, working to make a difference for others. Our foundation is built on empathy, humanity, trust, and love, and we strive to embody these core values in everything we do. Whether we're serving our customers, partners, or fellow Rocketeers, we are committed to treating everyone with the respect and care they deserve. Founded in 1990, Rocket Software is headquartered in Waltham, Massachusetts, and has 20 offices worldwide, bringing people and technology together to build a better future.
    $98.9k-123.6k yearly 55d ago
  • Coordinator, Benefits Eligibility and Prior Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Washington, DC

    **_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 11d ago
  • Benefits Analyst (Claims Focused Analyst)

    Inovalon 4.8company rating

    Benefit specialist job in Bowie, MD

    Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building. Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve. Overview: The Benefits Analyst will be responsible for providing in-depth analysis and creation of healthcare provider business rules that will modify and edit medical claims. This role requires in-depth knowledge of medical billing and coding of insurance claims from working in the healthcare profession as either a biller or at a software clearinghouse. The Analyst role is a customer facing role via email, ticketing, and occasionally in video meetings. This role requires the ability to review customer requests, ask for any clarifications from the requester and then create, test and publish custom claim edits on behalf of the client within company stated SLAs with a high level of quality. Requests can be customer initiated or medical insurance company mandates or necessary to ensure claims are paid timely. In addition, the Analyst will be responsible for reviewing claims that have failed to process in the system and come up with new edits to solve for outstanding changes that are needed within the system. The Analyst will work as part of a team to ensure that the Inovalon clearinghouse system maintains a high level of first pass claims acceptance rate through continued monitoring and proactive research to the changing needs of insurance claims processing. Duties and Responsibilities: * Take ownership of triaging incoming internal and external customer requests for medical claims processing changes needed. * Prioritize requests based on operational needs and escalate issues to quick resolution when needed. * Implement technical business rules for processing medical claims; including building logic statements based on specific medical insurance claims fields to modify and or change; test with medical claims and implement to live systems. * Take a collaborative role with the application support team to triage production problems involving claims processing, perform defect analysis and provide fixes in business logic to be implemented by software teams in a timely fashion, particularly with high priority items. * Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered. * Liaise with Technology and Engineering teams to resolve application issues and enhancement requests to internal tools used by the team to expand capabilities. * Ensure compliance to Company procedures when making changes and implementing new business rules. * Ensure ongoing regularly scheduled updates required for compliance are executed timely. * Responsible for accessing payer websites and compliance standards research (i.e. UB Editor, payer Companion Guides) * Review claim level and file level failures or errors ongoing to find and implement new rules as needed to ensure our first pass claim acceptance rate hits our internal goals. * Update documentation, SOPs, and training documentation as needed. * Maintain a follow up schedule for unresolved issues. * Respond to support requests through phone calls, and emails. * Assist operations with process improvement and finding solutions to business problems. * Maintain compliance with Inovalon's policies, procedures and mission statement. * Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; * Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company. * Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function. * We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Job Requirements: * Required: Minimum 2 years' experience with Medical Billing in a healthcare setting, doctor's office or hospital; Preferred: Clearinghouse backend operations. * Understanding of Medicare NCDs, as well as Medicare/Medicaid MUE and CCI related billing rules * Solid understanding of Institutional and Professional claim forms, 5010 X12 files including 837, 835, 277 and 999. * Nice to have: experience in application support, SaaS experience preferred, healthcare background preferred * Being able to communicate clearly with clients; client focused and sensitive to client needs * Experience working with a ticketing system; Preferred: Service Now * Direct experience building logic rules for medical claims processing. * Excellent problem solving and analytical skills. * The ability to multi-task effectively Education: * Bachelor's degree or equivalent work experience required. Physical Demands and Work Environment: * Sedentary work (i.e., sitting for long periods of time); * Exerting up to 10 pounds of force occasionally and/or negligible amount of force; * Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions; * Subject to inside environmental conditions; and * Travel for this position will include less than 5% locally usually for training purposes. Inovalon Offers a Competitive Salary and Benefits Package In addition to the base compensation, this position may be eligible for performance-based incentives. The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate. Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That's why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more. Base Compensation Range $56,000-$75,000 USD This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions) If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles. By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth. Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement. To review the legal requirements, including all labor law posters, please visit this link To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link
    $56k-75k yearly Auto-Apply 18d ago
  • Manager, Payroll and Benefits

    FAS 4.3company rating

    Benefit specialist job in Washington, DC

    Job DescriptionManager, Payroll and Benefits Full-time FAS staff Washington, DC Why FAS? Does FAS sound like an organization that you would be energized to join? Is it aligned to your values? The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community. FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity. The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world. Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world. Skills and Expertise: Must Haves What skills do you need to show proficiency (or higher) in order to be a strong candidate? Bachelor's degree or higher in Accounting, Finance or Business Administration. 4-6 years of experience in benefits and payroll administration. A deep understanding of various employee benefits, including health, retirement, and insurance. Intermediate/expert skills in Excel required. Previous experience with HRIS software is highly desirable. Excellent communication, interpersonal, and negotiation skills. Proven ability to build and maintain effective working relationships at all levels across the organization. Monitors own work to ensure professional quality and punctuality. Ability to handle sensitive and confidential information with discretion. Strong analytical and problem-solving skills Highly Preferred: Certified Benefits Professional (CBP) is highly preferred. Non-profit experience is highly preferred. To Sum It Up… What's the “elevator pitch” for the role? The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes. In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards. This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization. This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision. At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture. What you'll do: (Core responsibilities) Benefits Administration Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs. Manage open enrollment, employee eligibility, and benefit plan changes throughout the year. Serve as the primary point of contact for benefits-related inquiries and issue resolution. Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery. Coordinate benefits education sessions and communications to enhance employee understanding and engagement. Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement. Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors. Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others. Payroll Management Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws. Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements. Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting. Administer wage adjustments, retroactive pay, and off-cycle payments as needed. Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws. Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records. Review and update payroll-related policies and procedures for clarity and compliance. Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll. Special projects and tasks as assigned. Compliance and Reporting Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.). Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits. Work Environment This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote. Salary Range $70,000-$85,000 Hiring Statement Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate. The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States. Powered by JazzHR tBZZBxMSeS
    $70k-85k yearly 3d ago

Learn more about benefit specialist jobs

How much does a benefit specialist earn in Towson, MD?

The average benefit specialist in Towson, MD earns between $34,000 and $76,000 annually. This compares to the national average benefit specialist range of $34,000 to $68,000.

Average benefit specialist salary in Towson, MD

$50,000

What are the biggest employers of Benefit Specialists in Towson, MD?

The biggest employers of Benefit Specialists in Towson, MD are:
  1. Global Elite Group
  2. HealthCare Access Maryland
  3. Robert Half
  4. Global Elite Empire Consultants
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