John Mayer

IDR is seeking a Benefits Specialist to join one of our top healthcare clients. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! Position Overview/Responsibilities for the Benefits Specialist:

• Enters, scans, or updates database information for new enrollments and terminations of group, individual, and ancillary health insurance products, including group employer accounts and individual policy profiles.
• Processes demographic changes to member records, such as name/address/phone/email changes, primary care provider (PCP) changes, etc.
• Handles enrollment or eligibility inquiries from Member Services, including processing duplicate ID card requests, reprinting correspondence, and reordering new member materials.
• Reviews all pending enrollments data for accuracy, analyzes any discrepancies, obtains the correct information, and reconciles the records.
• Identifies performance gaps, recommends and implements approved improvements to enrollment/eligibility processes.

Required Skills:

• General knowledge of health care operations and structure, basic requirements in an integrated delivery system, and the use of information system applications in a health insurance or health care environment.
• Working knowledge of health insurance concepts related to enrollment and eligibility practices. Basic familiarity with and understanding of the California Department of Managed Health Care (DMHC) regulations, various health care reimbursement models, pricing mechanisms, managed care and payer relationships.
• Attention to detail with exceptional time management and organization skills with the ability to balance multiple priorities and take appropriate action in challenging situations.
• Analytical, negotiation and project management skills, including the ability to work with diverse people.

What’s in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization
• Close-knit and team-oriented culture

 Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Dedicated Engagement Manager who is committed to you and your success
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated’s Best of Staffing® Client and Talent Award winner 11 years in a row

Compensation Details: $24.25/hour w2