Benefits Administration Specialist

Benefits Administration Specialist COMPANY: EmblemHealth LOCATION: 55 Water St.

HOURS: 9am to 5pm Mon - Fri

DEPT:

Description of Duties Posting closing date: 07/31/2009 Essential duties: Supports the Director of Benefits Compliance with the Q-care Administrative Adjudication Platform. Provides Q-care benefit consultation and support to HIP staff and external entities, particularly as it relates to the development of base plans, service categories and rider codes.

* Manages the Benefits Administration process of identifying, developing, creating, modifying and maintaining new base plans, service categories, rider codes and benefit sets in Q-Care. * Manages relationships with down stream business units that rely on the information loaded in Q-Care by Benefits Administration. * Interfaces with IS Department to manage the Benefits Administration responsibilities associated with revisions and updates to the benefits regions of the Q-Care system. * Provides Benefit Administration training and support to internal and external entities. * Responds to Q-care benefit related questions from HIP business units. * Answers benefit-related questions from other HIP Departments.

Requirements  * Bachelors degree. * Minimum 3-5 years of healthcare/insurance experience, particularly Benefits and HMO/Insurance products. Knowledge Skills & Abilities: * In depth knowledge and understanding of the Qcare administration system. * Awareness of CPT and ICD9 codes * Thorough understanding of claims adjudication process * Thorough understanding of Emblem Healths health benefit insurance products * Strong analytical skills * Team player * Flexibility * Multi-tasker

Please refer to job code ghi-2183 when responding to this ad.

Category:	Human Resources
	> Benefits Administrator
Location:	New York City, NY
County:	County
ZIP Code:
Pay Rate:	Open
Job Terms:	full time
Company:	GHI
Phone:	email only please
Fax:	email only please