Eligibility & COBRA Coordinator (full-time / remote / hybrid)
Prairie States Enterprises, Inc.
Prairie States Enterprises, Inc.
Sheboygan, WI Sheboygan, WI Full-time Full-time Estimated:
$40.
1K - $50.
8K a year Estimated:
$40.
1K - $50.
8K a year 8 days ago 8 days ago 8 days ago ELIGIBILITY & COBRA COORDINATOR (FULL-TIME / REMOTE / HYBRID) This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location.
No weekends, holidays or on-call rotations.
Ideal candidate will work in Wisconsin.
Prairie States Enterprises, Inc.
is a third party administrator, a benefits industry leader, and a trusted advisor to self-insured companies and their employees.
We provide a complete range of medical benefit management services, all performed in-house, and to exacting standards of excellence.
JOB SUMMARY Manage confidential and sensitive medical, dental, vision, Flex, Short Term Disability and personal information for members and dependents.
Perform and maintain data entry via imported eligibility files, Web Eci, and manual enrollments on a timely basis using the Eldorado System and COBRA system for eligibility and COBRA.
Work with Claims Adjudicators, Account Managers, and HR representatives on a daily basis to maintain member and dependent information.
SUMMARY OF ESSENTIAL JOB FUNCTIONS Setup, maintain, and manage eligibility data, demographics, and coverage for new groups, members, and dependents in all systems.
Answer members' and human resource department's questions, concerns, and issues regarding eligibility.
Meet with members' and human resource representatives as needed.
Setup, generate, and maintain COBRA documentation, Certificates of Creditable Coverage, payments, and spreadsheets.
Continually maintain and update COBRA records and files accordingly in all systems.
Provide well-informed and educated answers to members' and human resource department's questions, concerns, and issues regarding COBRA.
Setup, maintain, and manage spousal and dependent forms and send out second and final notices as necessary.
Work with appropriate Human Resource Representatives concerning age limits and terminations of all dependents ceasing to be eligible for coverage.
Notify appropriate contacts of changing eligibility information.
Resolve and manage prescription questions, concerns, and issues in a timely manner by contacting PBM contacts/ HR representatives and members as needed Setup, maintain, and manage all medical and dental identification cards.
Work with vendor to print cards in an accurate and timely manner on a weekly basis.
Assemble COBRA payments by group/company on a monthly basis.
Complete COBRA Payment Listing reports for each COBRA group; make copies and forward to the finance department for appropriate allocation.
Assemble Census and Adjustment Reports as requested, or assist the group with the web portal.
Provide assistance to company operators on an as-needed basis in a courteous and professional manner.
Attend seminars, conferences, meetings, webinars, etc.
to remain well-informed and current of any changes in third party administration, eligibility, and system operations.
POSITION REQUIREMENTS Education and/or Experience High school diploma or general education degree (GED), and two years minimum of related work experience and/or training, or equivalent combination of education and experience.
Previous administrative experience medical benefit plans and a working knowledge with COBRA regulations is highly preferred.
COMPETENCIES Change Management - Accepts, supports, and executes assignments in conditions of change which support attaining department goals.
Effective Communication - Demonstrates effective and responsive communications following the appropriate reporting structure.
Accountability/Results - Achieves and/or exceeds result based goals that were specific, measurable, and timely.
Teamwork - Demonstrates teamwork behaviors and makes positive contributions and which support the achievement of department goals.
Customer Satisfaction - Dedicated to the PSE service model and meets or exceeds PSE customer satisfaction expectations in providing exemplary service.
Professional Growth - Takes ownership of one's professional growth within one's current position and to advancement at PSE.
PHYSICAL DEMANDS / WORK ENVIRONMENT This is sedentary position which requires the individual to sit for long periods of time and the proper positioning/posturing for extensive viewing of computer screens and computer related work is required.
It is encouraged that individuals intermix this sedentary time with periodic movement within one's office space and/or to other office areas to counteract the sedentary nature of this position.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To the selected candidate, we offer:
Competitive compensation based on experience and a comprehensive benefit package provided to include Medical, Dental, Vision, Life, STD/LTD, FSA, Paid Time Off, personal days, 401k with match, wellness and exercise membership and more.
Click HERE to view our full-time benefits flyer.
Opportunity for meaningful career growth within a results-driven company and our company culture is one of ambition, integrity, empowerment, teamwork and a passion for personal and company success.
If this sounds like you and you're seeking career growth with an exciting new career path in overseeing the quality of health care for our clients and their members, please send your cover letter and resume following the instructions for this site.
Prairie States Enterprises Equal Opportunity Employer.
Estimated Salary: $20 to $28 per hour based on qualifications.
Prairie States Enterprises, Inc.
Sheboygan, WI Sheboygan, WI Full-time Full-time Estimated:
$40.
1K - $50.
8K a year Estimated:
$40.
1K - $50.
8K a year 8 days ago 8 days ago 8 days ago ELIGIBILITY & COBRA COORDINATOR (FULL-TIME / REMOTE / HYBRID) This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location.
No weekends, holidays or on-call rotations.
Ideal candidate will work in Wisconsin.
Prairie States Enterprises, Inc.
is a third party administrator, a benefits industry leader, and a trusted advisor to self-insured companies and their employees.
We provide a complete range of medical benefit management services, all performed in-house, and to exacting standards of excellence.
JOB SUMMARY Manage confidential and sensitive medical, dental, vision, Flex, Short Term Disability and personal information for members and dependents.
Perform and maintain data entry via imported eligibility files, Web Eci, and manual enrollments on a timely basis using the Eldorado System and COBRA system for eligibility and COBRA.
Work with Claims Adjudicators, Account Managers, and HR representatives on a daily basis to maintain member and dependent information.
SUMMARY OF ESSENTIAL JOB FUNCTIONS Setup, maintain, and manage eligibility data, demographics, and coverage for new groups, members, and dependents in all systems.
Answer members' and human resource department's questions, concerns, and issues regarding eligibility.
Meet with members' and human resource representatives as needed.
Setup, generate, and maintain COBRA documentation, Certificates of Creditable Coverage, payments, and spreadsheets.
Continually maintain and update COBRA records and files accordingly in all systems.
Provide well-informed and educated answers to members' and human resource department's questions, concerns, and issues regarding COBRA.
Setup, maintain, and manage spousal and dependent forms and send out second and final notices as necessary.
Work with appropriate Human Resource Representatives concerning age limits and terminations of all dependents ceasing to be eligible for coverage.
Notify appropriate contacts of changing eligibility information.
Resolve and manage prescription questions, concerns, and issues in a timely manner by contacting PBM contacts/ HR representatives and members as needed Setup, maintain, and manage all medical and dental identification cards.
Work with vendor to print cards in an accurate and timely manner on a weekly basis.
Assemble COBRA payments by group/company on a monthly basis.
Complete COBRA Payment Listing reports for each COBRA group; make copies and forward to the finance department for appropriate allocation.
Assemble Census and Adjustment Reports as requested, or assist the group with the web portal.
Provide assistance to company operators on an as-needed basis in a courteous and professional manner.
Attend seminars, conferences, meetings, webinars, etc.
to remain well-informed and current of any changes in third party administration, eligibility, and system operations.
POSITION REQUIREMENTS Education and/or Experience High school diploma or general education degree (GED), and two years minimum of related work experience and/or training, or equivalent combination of education and experience.
Previous administrative experience medical benefit plans and a working knowledge with COBRA regulations is highly preferred.
COMPETENCIES Change Management - Accepts, supports, and executes assignments in conditions of change which support attaining department goals.
Effective Communication - Demonstrates effective and responsive communications following the appropriate reporting structure.
Accountability/Results - Achieves and/or exceeds result based goals that were specific, measurable, and timely.
Teamwork - Demonstrates teamwork behaviors and makes positive contributions and which support the achievement of department goals.
Customer Satisfaction - Dedicated to the PSE service model and meets or exceeds PSE customer satisfaction expectations in providing exemplary service.
Professional Growth - Takes ownership of one's professional growth within one's current position and to advancement at PSE.
PHYSICAL DEMANDS / WORK ENVIRONMENT This is sedentary position which requires the individual to sit for long periods of time and the proper positioning/posturing for extensive viewing of computer screens and computer related work is required.
It is encouraged that individuals intermix this sedentary time with periodic movement within one's office space and/or to other office areas to counteract the sedentary nature of this position.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To the selected candidate, we offer:
Competitive compensation based on experience and a comprehensive benefit package provided to include Medical, Dental, Vision, Life, STD/LTD, FSA, Paid Time Off, personal days, 401k with match, wellness and exercise membership and more.
Click HERE to view our full-time benefits flyer.
Opportunity for meaningful career growth within a results-driven company and our company culture is one of ambition, integrity, empowerment, teamwork and a passion for personal and company success.
If this sounds like you and you're seeking career growth with an exciting new career path in overseeing the quality of health care for our clients and their members, please send your cover letter and resume following the instructions for this site.
Prairie States Enterprises Equal Opportunity Employer.
Estimated Salary: $20 to $28 per hour based on qualifications.
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