<p>Robert Half is working with a well-known company in a search for a detail-oriented Benefits Services Representative to join their team in Spokane, Washington. In this role, you will play a critical part in managing member and dependent enrollment data, conducting audits, and supporting benefit services. The ideal candidate is highly organized, possesses strong analytical skills, and excels in customer service while maintaining confidentiality and a commitment to high standards.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process enrollment data for new and renewing group members, including dependents.</p><p>• Conduct thorough audits of enrollment and eligibility information to ensure data accuracy.</p><p>• Learn and interpret insurance and benefit contracts, providing informed responses to customer inquiries.</p><p>• Handle producer credentialing, demographic updates, and commission management as needed.</p><p>• Collaborate with team members to implement procedural updates within the Trust database to address evolving member needs.</p><p>• Provide reliable support and backup assistance to other Benefit Services team members.</p><p>• Maintain a comprehensive understanding of organizational functions and direct members to appropriate resources.</p><p>• Represent the organization in interactions with carriers and vendors, fostering strong and reliable relationships.</p><p>• Actively contribute to a cooperative and team-oriented work environment across departments.</p><p>• Complete additional tasks and responsibilities as assigned.</p><p><br></p><p>BENEFITS OFFERED:</p><p>-SALARY RANGE: $65 - $72k</p><p>- Healthcare Benefits: Medical</p><p>- Other Insurance: AD& D, Short and Long Term Disability, Life Insurance</p><p>- Retirement Plan: simple IRA with match</p><p>- PTO: 7 paid holidays and paid time off</p>
<p>This contract part-time role provides critical support to help a non-profit organization in Spokane catch up on Medicaid billing. The specialist will assist with claim submission, corrections, and verification, using multiple billing platforms.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and in a timely manner to ensure prompt reimbursement.</p><p>• Investigate and resolve denied claims by identifying issues and submitting appeals as necessary.</p><p>• Manage collections efforts by contacting patients and insurance providers to secure outstanding payments.</p><p>• Review and analyze medical billing data to ensure compliance with hospital policies and regulatory requirements.</p><p>• Maintain detailed records of billing activities and communications for documentation purposes.</p><p>• Collaborate with healthcare providers and administrative teams to address billing discrepancies and improve workflows.</p><p>• Stay updated on industry changes and insurance regulations to ensure billing practices remain compliant.</p><p>• Handle inquiries related to billing and collections, providing clear explanations to patients and stakeholders.</p><p>• Utilize hospital billing systems effectively to perform tasks and generate reports as required.</p>
