Special Processing Specialist II
New
B
BusinessolverBenefits Technology
Work Remotely Anywhere in the Contiguous 48 StatesFull-TimeMiddle
Salary18.5 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 2–3 years
- Required Skills
- Microsoft OfficeComplianceHIPAA
Requirements
- Bachelor’s degree preferred in Human Resources, Business Administration, or related field.
- 2–3 years experience in HR operations or employee support.
- Strong knowledge of benefits processing and compliance requirements.
- Proficiency with HRIS and Microsoft Office.
- Excellent attention to detail and ability to manage confidential information.
- Strong communication skills.
- Ability to work collaboratively while adhering to HIPAA, IRS, and CMS regulations.
Responsibilities
- Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately.
- Verify eligibility and manage elections, record updates, and coverage activation per SOPs.
- Submit life and disability claims timely with complete and correct information.
- Apply client-specific requirements across multiple workstreams.
- Provide proactive, accurate, and empathetic support to enhance member experience.
- Communicate professionally with members, internal teams, and external partners.
- Maintain compliance with HIPAA, IRS, CMS regulations and manage mandated notices and documentation.
- Identify and resolve documentation or process issues using critical thinking and compliance standards.
- Protect sensitive data and maintain transaction integrity.
- Handle escalations, assist during client calls, and prepare activity and performance reports.
View Full Description & ApplyYou'll be redirected to the employer's site
