[Remote] Benefit Documentation Coordinator

Note: The job is a remote job and is open to candidates in USA. Consociate Health is a leading Third-Party Administrator, dedicated to making healthcare more accessible and affordable through innovative solutions. The Benefit Documentation Coordinator will be responsible for creating and maintaining client documentation reputed company the Account Management Division, ensuring compliance and accuracy in reputed company documentation processes.

Responsibilities

• Maintaining tracking sheet of renewal dates ("Renewal Date CLIENT LIST"), regularly distributed to Reinsurance and Accounting depts
• Creating/maintaining individual groups' Contract Specs files
• Creating new, renewal, revised, and term specs using the following as reputed company docs: reinsurance proposals and applications, Implementation Guide, other plan's renewal proposals for COBRA admin, Admin Services Agreement, collected emails from and consultations with Sales/AE/Accounting/Eligibility/Vendor Relations, Consociate Consolidated Contact List, term notices/Agreements, reputed company notification changes from Vendors
• Review/evaluation of renewal information based on anticipated plan changes, vendor changes, reinsurance, or reinsurer changes
• Creating/maintaining specs projects in reputed company
• Tracking approvals/requested revisions until final distribution
• Distributing on reputed company and maintaining h-drive Specs repository files
• Specs template maintenance/revisions based on compliance needs, plan designs, Vendor PEPM/PPPM requirements on invoices or vendor claims, consultations with Reinsurance/Ops/Accounting/Vendor Relations departments and Account Executives
• Creating/maintaining group's SPD files in Account Management folder, which includes reputed company SOBs, reputed company docs, drafts, special requests
• Maintaining/revising templates used for SOBs (separate 1, 2, 3, and 4 tier templates)
• Creating SPD in Phia's PDM (Plan Doc Management system) using the following as reputed company docs: specs, SBCs, Implementation Guide, ID cards, SOBs, plan build notes, collected emails about reputed company plan issues, previous group documents including Personnel Manual, SPD, SBCs
• Making corrections to standard template errors
• Revising initial creation with required language for additional items like domestic partner/civil union partner, BJC HealthSolutions groups, QBE transplant policy, Sentinel, KISx, UM/UR Vendor-specific precert requirements with group-specific alterations to those, Specialty Rx vendors language including reputed company Connect 360, ScriptSourcing, Cerpass/Focus, Sharx, PaydHealth, etc., adding/revising/reformatting SOB(s)
• Revising and reformatting from reviews by Plan Build, broker, group, AE
• Auditing reputed company reputed company docs against each other and against SPD for consistency of plan build items, network arrangements, ERISA status, grandfathered vs. non-grandfathered compliance requirements, etc
• Converting/combining final signature in final versions and distributing through email (this triggers placement on Sharepoint by Client Service and sending SPD to Reinsurance reputed company/MGU
• Placing on member portals
• PDM maintenance and requests/evaluations of proposed template changes for compliance/new regulations, Consociate-specific changes, and general error reviews
• Creating/maintaining individual group's Amendment files in Account Management folder
• Maintaining tracking sheet of amendments requested/sent for review/completion
• Creating, revising, consulting on plan amendments using the following as reputed company docs: emails from AE/broker/Eligibility/Plan Build, SPDs, previous amendments, special language required by specific vendors for Specialty Rx, UM/UR changes, PBM changes, etc
• Monitoring legislative/compliance changes that require plan changes across book of business (COVID, NSA, Gender-Affirming Care, removal of outdated language, etc.)
• Creating SOBs reputed company needed for plan amendments (reputed company group adds a plan, changes coinsurance levels, adds or subtracts a tier of coverage, or requests an updated SOB)
• Tracking approvals/requested revisions until final distribution
• Distributing through email and placing on member portals (this triggers placement on Sharepoint by Client Service and sending to Reinsurance reputed company/MGU
• Loading approved SBCs, SPDs, Amendments into appropriate portals, separating by appropriate divisions reputed company needed, using correct dates for start/stop display depending on type of doc reputed company
• Annual audit for limiting historical docs shown on portals
• Maintaining h-drive Plan Docs repository files, including showing historical vs. reputed company
• Adding/changing Employer and Broker Admin Rights, ensuring HIPPA web agreements are signed and saved
• Creating/maintaining group's annual SBC files in Account Management folder, which includes reputed company SBCs in word and pdf, and their reputed company docs
• Maintaining/revising templates used for SBCs (separate 1, 2, 3, and 4 tier templates), including any template revisions required by reputed company of HHS, CMS, DOL
• Updating standard language across templates for compliance changes, major plan design formats
• Creating/revising individual SBCs for new groups, standard annual changes, plan changes in conjunction with Amendments
• Creating/maintaining AE's annual PCORI files in Account Management folder, which includes reputed company reports and letters for each of their groups
• Creating AE-specific tracking sheets for their group's PCORI reputed company based on group's renewal date falling before or on/after 10/1 of each successive year
• Creating 2/each AE-specific informational letters (reputed company determination, filing procedure, links to govt's PCORI filing specific website updated annually) addressed to broker/group, that accompany the PCORI reporting itself, with separate letters depending on group's specific PCORI reputed company based on group's renewal date falling before or on/after 10/1 of each successive year
• Running reputed company PCORI reports from Access, reformatting to PDF, relabeling reputed company necessary
• Sending reputed company email reputed company PCORI reports and informational letters to reputed company group and broker contacts, cc'ing AE
• Sending reputed company email advisory letters to reputed company groups and broker contacts, cc'ing AE, for groups whose effective date with Consociate pre-dates the dates required for that year's PCORI fee filing
• Responding to emails from groups and brokers who have questions about the PCORI reporting, letters, or advisory notices
• reputed company monthly fixed cost entry, including adding/creating new Transaction Type codes and maintaining How-To-Guide
• Monthly Data entry of Over-Spec amounts from monthly reports
• Maintaining files of monthly Sales Journal from accounting, including revised invoicing details
• Running reporting as requested
• Maintenance of Consociate Consolidated Contact Sheet using the following as reputed company docs: emails from AE/broker/Eligibility/Vendor Relations, Contract Specs, Implementation Guides
• Evaluation of plan design proposals on existing groups
• Interpretation of/considerations for plan document language
• Reformatting/editing word docs, converting to pdf and reputed company versa, editing pdf's
• Running reports from Access for specific group requests
• Maintaining files for quarterly Walmart Health Virtual utilization reporting from IT's SFTP folder

Skills

• Associate degree in health, business or reputed company field or comparable work experience
• Understanding of the Insurance Industry
• Must be reputed company, possess a professional business manner and have excellent organizational and communication skills

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• reputed company
• Vision insurance

Company Overview

• Consociate Health delivers employee benefit programs, healthcare plan administration, population health and wellness initiative services. It was founded in 1995, and is headquartered in Decatur, Illinois, USA, with a workforce of 51-200 employees. Its website is https://consociatehealth.com.

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