Special Processing Specialist II
New
B
BusinessolverBenefits Technology
#LI-RemoteFull-TimeMiddle
Salary18.5 USD per hour
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Job Details
- Experience
- 2–3 years
- Required Skills
- Microsoft Office
Requirements
- Bachelor’s degree in Human Resources, Business Administration, or a related field (preferred).
- 2–3 years of experience in HR operations or employee support.
- Strong knowledge of benefits processing and compliance requirements.
- Proficiency with HRIS platforms and Microsoft Office suite.
- Excellent attention to detail.
- Ability to manage confidential information securely.
- Strong communication skills for interacting with members, teams, and partners.
- Demonstrated ability to adhere to HIPAA, IRS, and CMS regulations.
Responsibilities
- Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests.
- Verify eligibility, manage elections, and perform record updates and coverage activation per SOPs.
- Submit life and disability claims accurately and on time.
- Maintain compliance with HIPAA, IRS, and CMS regulations.
- Identify and resolve documentation or process issues using critical thinking.
- Handle escalations, assist in client calls, and prepare performance reports.
- Participate in daily stand-ups and provide mentorship to junior staff.
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